Photo Release Form For Photo Pop Up at Easy Luck on 4/26/19

I, (See Printed Name Below), grant permission to David Lawrence Photography LLC and its agents and employees the irrevocable and unrestricted right to reproduce the photographs and/or video images taken of me, or members of my family, for the purpose of publication, promotion, illustration, advertising, or trade, in any manner or in any medium. I hereby release David Lawrence Photography LLC and its legal representatives for all claims and liability relating to said images or video. Furthermore, I grant permission to use my statements that were given during an interview, with or without my name, for the purpose of advertising and publicity without restriction. I waive my right to any compensation.

Name

First Name

Last Name

City

State

Checkbox

I acknowledge that I am:

Over The Age of 18

The Legal Guardian of The Following:

If legal guardian, please list name(s) here:

I have read and agree to the above statements

Yes

No - You do not have permission to use my photo!

Date

YYYY

Email Address (You will receive an email when the photos are ready! You will also receive updates on any future events!)