hereby authorize Samantha Riegels and Samantha Grant Photography (collectively, the “photographer”) to photograph, film, videotape, and/or record images of me/my child (“Material”).
I give my consent for any Material to be used, distributed, published and copied by the photographer for any purpose including advertising of photographer’s products and services in any medium, including on the internet, traditional or social media, with or without the use of my/my child’s name.
I enter into this agreement for good and valuable consideration, the receipt and sufficiency of which I acknowledge, and understand and agree that I will not receive monetary payment for any use of the Material by the photographer.
I further release and forever discharge the photographer from any and all claims and demands arising out of or in connection with such use of the Material by the photographer, including but not limited to any and all claims for violation of rights of publicity, invasion of privacy, libel, defamation, or copyright infringement.
I hereby certify that I am the parent or guardian of the person named below, and I do hereby agree and give my consent without reservation to the foregoing on behalf of him or her.