Photo and Video Release Form
Lois Spicer & Productions
Port Angeles, Washington
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.
Parent/Guardian Name ____________________________
Address / Contact Info ____________________
Signature of Person over 18 or Parent/Guardian __________________
Project Name ________________________