Co-working Space Photo Release Form
Grant or withhold permission for the use of your photographs taken at our co-working space. Please complete all sections below.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization or Company (if applicable)
Relationship to the Co-working Space
*
Please Select
Member
Guest
Staff
Event Organizer
Other
Event or Session Name (if applicable)
Date of Photo Session
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Purpose(s) for which photos may be used (select all that apply)
*
Website or Social Media
Printed Marketing Materials
Internal Communications
Press Releases or Newsletters
Other
Do you have any restrictions or preferences regarding the use of your photographs?
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
By signing below, I confirm that I have read and understood the above information and give my consent (or state my restrictions above) regarding the use of my photographs.
*
Submit Release
Submit Release
Should be Empty: