Ten Syx Med Spa Release Form

Ten Syx Med Spa Release Form
This form seeks to get your consent to use your photos/videos that are taken by your Esthetician. Signing this form gives us the permission to use your photos/videos for business purposes. The refusal of this form by you will not affect the services you receive today and/or any future appointments.
Name
First NameLast Name
Date of Birth
MonthDayYear
Date
Please select the ones you agree
I grant my full permission to take my photos/videos by your company “before” and “after” of the operation.I give my permission to use, re-use, publish my taken photos/videos in portfolios, advertising, publicity, trade, sale. I won’t demand any charge, royalty or any monetary compensation.I give your company the right to use my name regarding these purposes.
Date*
MonthDayYear
Today’s Date
Sign
Clear
Should be Empty: