SmileLift Photo & Video Consent Form

SmileLift Photo/Video Release
Photo/Video Release Form
I hereby grant and authorize SmileLift the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any pictures, videos, and /or audio taken of me to be used in and/or for any lawful promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, press kits, websites, social media sites, and other print and digital communications, without payment or any other consideration.
This authorization shall continue indefinitely and extends to all languages, media, formats, and markets now known or later discovered.

I waive any rights to royalties or other compensation arising or related to the use of the photograph or recording.
I understand and agree that these materials shall become the property of SmileLift and will not be returned.
And causes of action which I, my heirs, representatives, executors, administrators, or any I hereby hold harmless and release other persons may make while acting on my behalf or behalf of my estate.
By signing below, I hereby acknowledge that I have completely read and fully understand the above release agreement.
Client Name (printed)
Client Name (signature)

Clear
Should be Empty:

Photo/Video Release Form