Photography Release Form

Ask a staff member what to enter
Today's Date:
Thu Sep 29 2022 11:42
Photography Location:*
Please read and answer
Photography*
I release all rights to any photographs taken of me and the procedure done and give consent in advance to their reproduction in print or electronic form.
This Document*
I acknowledge that I have been given adequate opportunity to read and understand this document, that it was not presented to me at the last minute, and I understand that I am signing a legal contract.
If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.
Personal Info
I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement or, if not, that my parent or legal guardian shall sign on my behalf, and that my parent or legal guardian is in complete understanding and concurrence with this agreement.
Name:*
Address:
Postcode:
Date of birth:*
If you are under 18 your parent/guardian will be required
Phone #:
Email:*
Sign up for our newsletter
Signature:*