Divine Mermaid - Professional Mermaid Performer 
and Underwater artist
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Photography Release Form

Please print this page and sign
Picture
I hereby authorize  Divine Mermaid  hereafter referred to as The Company to publish any photographs/ 

videos taken of me  ____________________________  or my child   ____________________________  
                                                      print name                                                                                             print name

on   ______/_______/_______   and my name and likeness for use in Divine Mermaid's print, 
          day           month            year

online and marketing materials as well as any other Company publications.



I hereby release and hold harmless Divine Mermaid from any reasonable expectation of privacy or 
confidentiality associated with the images specified.


I further acknowledge that my participation is voluntary and that i will not receive  financial compensation 
of any kind associated with the taking and publication of these photographs or participation in Company 
marketing materials or other types of Company publications.   I acknowledge and agree that the taking and publication of said photos confers no rights of ownership or royalties whatsoever.

I hereby release Divine Mermaid,  it's contractors,  it's employees and any third parties involved in the creation or publication of marketing materials, from liability of any claims by me or any third party in connection with my participation.


 I do not consent




_______________________________________                ______________________
Print Name (Parent / Guardian)                                           Participants Name


________________________________________    Date:   ______/_______/_______ 
Signature of Parent  (must be 18 years or older)   
                                                                                                 day       month       year


______________________________________________________________________

Address
                      ___________________________________________________________


_________________________               ____________              ___________________
City                                                          Province                        Postal Code


(_____)_____________________          _______________________________________
Phone                                                       Email

Copyright 2014. Divine Mermaid

  • Home
  • Mermaid
    • Our Services
    • Mermaid Retreats
    • Mermaid University
    • Join the Pod!
  • Resort Entertainment
  • *Salty Mermaid Swim School*
    • Programs
    • Swim School Registration
  • More
    • Bio
    • Gallery
    • Media
    • Booking Agreement & Liability Release Form
    • Photography Release Form
    • Request A Quote
    • Connect