Photograph and Video Release Form
This form is to obtain your consent for the use of photographs and videos taken during your hair appointment.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Appointment
*
-
Month
-
Day
Year
Date
I hereby grant permission to RevivalBeauty to use photographs and videos of me taken during my appointment for promotional and marketing purposes. I understand that these materials may be used in various forms of media, including but not limited to social media, websites, and print materials.
*
I agree
I do not agree
Do you have any restrictions on the use of your images? If yes, please specify:
I understand that I will not receive any compensation for the use of these photographs and videos, and that I can withdraw my consent at any time by contacting [Your Business Name].
*
I understand
I do not understand
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: