Release form - keith ibsen photography
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Pet Photography Release Form I hereby authorize Keith Ibsen Photography to publish photographs taken of me and/or my pet during any procedure, for the use in ——————— print, online, and video based materials, as well as other ———— Pet publications. I hereby release and hold harmless Keith Ibsen Photography from any reasonable expectation of privacy or confidentiality associated with the images obtained during the procedures. I further acknowledge that my participation is voluntary, and I will not receive financial compensation of any type associated with the take or publication of these photographs or participation in marketing, educational, informational materials or other publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. I hereby release Keith Ibsen Photography its contractors, its employees, and any third parties involved in the creation or publication of marketing, educational, and informational materials, from liability for any claims by me or any third party in connection with my participation. Authorization Print Name: _____________________________ Pet’s Name: ___________________ Signature: _____________________________ Date: ________________________ Witness Name: _________________________________ Witness Signature: _________________________________   Keith Ibsen Photography, Glen Cove, NY www.keithibsenphotographypro.com


Model Photography Release Form I hereby authorize Keith Ibsen Photography to publish photographs taken of me and/or myself during any procedure, for the use in ——————— print, online, and video based materials, as well as other ———— publications. I hereby release and hold harmless Keith Ibsen Photography from any reasonable expectation of privacy or confidentiality associated with the images obtained during the procedures. I further acknowledge that my participation is voluntary, and I will not receive financial compensation of any type associated with the take or publication of these photographs or participation in marketing, educational, informational materials or other publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. I hereby release Keith Ibsen Photography its contractors, its employees, and any third parties involved in the creation or publication of marketing, educational, and informational materials, from liability for any claims by me or any third party in connection with my participation. Authorization Print Name: _____________________________ Pet’s Name: ___________________ Signature: _____________________________ Date: ________________________ Witness Name: _________________________________ Witness Signature: _________________________________ Keith Ibsen Photography, Glen Cove, NY www.keithibsenphotographypro.com







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