Social Media Photo Release Form
Name
First Name
Last Name
Age
Date of Birth
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Authorization, Release, and Consent
Can we use your name?
Complete name
First name
Nickname
Anonymous
I authorize and grant DANCEON8 to take my photos/videos regarding my experiences with them.
I grant DANCEON8 to use my photos/videos on Facebook, Twitter, Instagram, and other social media platform.
I allow DANCEON8 to edit, alter, copy, or distribute the photos/Videos for social media advertising and marketing.
I agree that the photos/videos belong to DANCEON8.
I understand that I will not receive any monetary compensation.
Signature
Clear
Date Signed
-
Month
-
Day
Year
Date
Submit
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