My Release Form

Photo and Video Release Form

Lois Spicer & Productions

Port Angeles, Washington

Loisrea2016@gmail.com

 

I, ________________________, hereby consent to and authorize Lois Spicer the irrevocable and unrestricted right to use and publish video, photographs, or other media of me/my child, or in which I/my child may be included, in any video, print, electronic, digital or other media; and to alter the same without restriction.

I hereby grant and authorize Lois Spicer to use my name/my child’s name, company name, photographs, likeness, video and/or testimonial in Lois Spicer related marketing, online and print portfolio, advertising, social media, slide or video productions, and Lois Spicer website and blog.

I acknowledge that my participation is voluntary and that I will not receive financial compensation of any type associated with the taking or publication of these videos and images. I irrevocably assign such images’ rights and uses to Lois Spicer into perpetuity. I hereby release Lois Spicer and its legal representatives and assigns from all claims and liabilities relating to said videos and images.

Name _____________________________

Parent/Guardian Name ____________________________

Address / Contact Info ____________________

Signature of Person over 18 or Parent/Guardian       __________________

Project Name ________________________

Date    _________________________

 

Thank you!

About myspiceinlife

I just moved to Port Angeles about a year and a half ago form Spokane. I'm starting my journey in Photography in Multimedia and I haven't been in school for about 30 years. I never dreamed in a million years that I would be going back to school. I just love being in school.
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