ChompShop General Photo Release Form

Chompshop Photo/Video Release Form
In allowing the reproduction and publication of your children's photograph(s) and video(s), you are stating: "I grant permission for my child/children to be photographed, filmed, videotaped, or otherwise recorded and for my child/children's likeness, image, appearance, and/or voice to be used in ChompShop, Inc. materials, productions made by or on behalf of ChompShop, Inc., or in advertising or trade in promoting and publicizing ChompShop, Inc."
Photo Release Consent

I hereby allow the reproduction and publication of my children's photograph(s) and video(s)I do not allow the reproduction and publication of my children's photograph(s) and video(s)
Name of Child (1)
Name of Child (2)
Name of Parent
Contact Number

Area CodePhone Number
Signature

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Date Signed

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Date
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Chompshop Photo/Video Release Form