Photography & Video Release Form
Please read and sign the waiver to allow us to use photos of you.
Full Name
*
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Permission for use
*
I hereby grant permission to capture my image and likeness in photos, video, and audio. I understand that these may be used in print and online marketing materials, social media, and other advertising.
Please blur or cover my face so that I am not identifiable. I hereby grant permission to use images with my face blurred or covered. I understand that these may be used in print and online marketing materials, social media, and other advertising.
I do not grant permission to capture my image to be used in marketing materials.
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: