Photography Release Form - Serving Dentists Throughout the World

Step 1 of 2

Photographer Name(Required)

First Last

Date(Required)

Model Name

First Last

Date(Required)

Practice Name(Required)

Email(Required)

Please agree to the acknowledgments below.

I acknowledge that this Photography Release Form is effective from signing into perpetuity.(Required)

Yes

I authorize chrisad to edit, change, copy & use of all photographs of me for promotional purposes.(Required)

Yes

I acknowledge that I will not be entitled to payment or other compensation, including royalties, for these photographs.(Required)

Yes

I authorize the use of these photographs in any & all media, including print & digital.(Required)

Yes

I acknowledge that these photos are the property of chrisad & that I will not have any rights over them, whether they are used or not.(Required)

Yes