Permission to Use Photo Release Form

Permission to Use Photo Release Form
Name of Individual Granting Permission

First NameLast Name
Child's Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Date

MonthDayYear
Date
Permission to Use Photograph

I, the undersigned, hereby grant Camp Oss BJJ LLC the absolute right and permission to use my photograph(s) in any manner or media, including, but not limited to, the following purposes:

Educational materials
Publications
Advertising and promotional materials
Social media platforms
Websites
Press releases
No Compensation

I understand that I will not receive any monetary compensation for the use of my photograph(s).

Rights Granted

I grant Camp Oss BJJ LLC the following rights:

The right to edit, alter, copy, or distribute the photograph(s) for any lawful purpose.
The right to use my name in connection with the photograph(s) if they choose.

Release and Waiver

I hereby release and discharge Camp Oss BJJ LLC, its employees, agents, and representatives from any and all claims, demands, or causes of action that I may have now or in the future for defamation, invasion of privacy, or violation of the right of publicity or any other right arising out of or relating to the use of the photograph(s).
Signature

By signing below, I acknowledge that I have read and understood this Permission to Use Photo Release Form and agree to the terms and conditions stated above.
Signature

Powered by Jotform SignClear
Date signed

MonthDayYear
Date
Should be Empty: