Social Media Photo Release Form

Guest Name*

First NameLast Name

Birth Date*

MonthDayYear

Phone Number*

Format: (000) 000-0000.

Email*

example@example.com

What is your preference regarding the use of your name?*

I consent to the use of my first name only.I consent to the use of my photographs anonymously.

By signing in, you agree to the following: I give full permission to Napa Valley Collective, LLC, including its entities Lash St. Helena and Skin by Cynthia, to capture photographs and video recordings of me during services held within Napa Valley Collective.*

I understand and agree that these photos and videos may be used for marketing purposes, including but not limited to social media, websites, newsletters, and promotional materials, without any form of compensation, royalties, or additional payment to me.I acknowledge that: All photographs and recordings become the property of Skin by Cynthia, Lash St. Helena, and Napa Valley Collective, LLC.I waive any right to inspect, approve, or request removal of the images or videos where my likeness appears. The use and publication of any content featuring my likeness will be handled respectfully and professionally, in alignment with the brand values of Skin by Cynthia, Lash St. Helena, and Napa Valley Collective, LLC.I do not wish my photography or video to be used for marketing purposes.

Signature*

Guest Name or Parent Guardian Name

First NameLast Name

Date Signed*

Date

Authorization and Release