Photography Release Form
Please print this page and sign
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
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