Social Media Photo Consent Form

Social Media Photo Consent Form
Name*

First NameLast Name
Birth Date

MonthDayYear
Gender
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Authorization and Release
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 social media usernameI consent to the use of my photographs anonymously.
I authorize Luvbugesthetics to take my photographs.I authorize Luvbugesthetics to use my photos on Facebook, Twitter, Instagram, and other social media platforms.I authorize Luvbugesthetics to edit, alter, copy, or distribute the photos for social media advertising and marketing.I agree that I will not receive any monetary compensation for usage of my photographs in social media platforms.
Signature

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Date Signed

MonthDayYear
Date
Should be Empty:

Authorization and Release