Photography release form

Your First Name
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Your Last Name
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Your Phone number
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Your E-mail Address
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City
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Zipcode
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Select a date
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Terms & Conditions
I hereby authorize Pieter Bruwer Photography, hereafter referred to as “Company,” to publish photographs taken of me, and my name and likeness, for use in the company's print, online and video-based marketing materials, as well as other Company publications.

I hereby release and hold harmless Pieter Bruwer Photography from any reasonable expectation of privacy or confidentiality associated with the images specified above.

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

I hereby release Pieter Bruwer Photography, its contractors, its employees, and any third parties involved in the creation or publication of marketing materials, from liability for any claims by me or any third party in connection with my participation.
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