Wardlaw Orthodontics: Photo Release Form Logo
  • Photo Release Form

  • I hereby give permission to Wardlaw Orthodontics to use photographs taken of
    me for promotional material, advertising, and on their World Wide Web Site,
    Facebook, Instagram, Twitter or any other social media site without further
    consideration, and I acknowledge Wardlaw Orthodontics right to crop or treat the
    photographs at their discretion. I also acknowledge that Wardlaw Orthodontics
    may choose not to use my photo at this time, but may do so at its own discretion
    at a later date.


    I agree to waive any rights of compensation or ownership thereto. I also
    understand that once my image is used by Wardlaw Orthodontics on the above
    named sites, the image can be downloaded by any computer user. Therefore,
    agree to indemnify and hold harmless from any claims the following:

    • Wardlaw Orthodontics
    • Dr. David Wardlaw, DDS, MS
    • Dr. Hayden Wynne, DMD
    • All Employees, Wardlaw Orthodontics


    Wardlaw Orthodontics reserves the right to discontinue use of photos and/or
    quotes without notice.


    Wardlaw Orthodontics will never release full name or personal information
    of any person agreeing to have their photographs used for our promotional
    purposes.

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  • If the subject being photographed is a minor, I the Parent/Guardian agree to the
    above information concerning said minor.

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