Social Media Photo Release Form

Name*

First NameLast Name

Birth Date

MonthDayYear

Gender

Phone Number

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What is your preference regarding the use of your name?*

I consent to the use of my complete name.I consent to the use of my first name only.I consent to the use of my nicknameI consent to the use of my photographs anonymously.

Would you like a link to your Instagram page to be included on our posts?*

Please check the boxes to affirm the following:

I authorize Men's Global Streetwear to use my photos/videos on YouTube, Twitter, Instagram, and other social media platforms.I authorize Men's Global Streetwear to edit, alter, copy, or distribute, if needed, the photos for social media advertising and marketing only on its platforms.I agree that upon receipt of payment that submitted media will be the intellectual property of Men's Global Streetwear.I agree to communicate for project consultation with Men's Global Streetwear through email, phone, dms and texting where agreed to.I affirm that information submitted is my own and is accurate to the best of my knowledge.I affirm that I am 18 years old or older

Signature

Date Signed

Date

Social Media Photo Release Form

Authorization and Release