Photo/Video Release Form For Photo Installation

I, (See Printed Name Below), grant permission to David Lawrence Photography LLC and its agents and employees the irrevocable and unrestricted right to reproduce the photographs and/or video images taken of me, or members of my family, for the purpose of publication, promotion, illustration, advertising, or trade, in any manner or in any medium. I hereby release David Lawrence Photography LLC and its legal representatives for all claims and liability relating to said images or video. Furthermore, I grant permission to use my statements that were given during an interview, with or without my name, for the purpose of advertising and publicity without restriction. I waive my right to any compensation.

Name *
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I acknowledge that I am:
I have read and agree to the above statements *
Today's Date *
Today's Date

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