I, , grant permission to iFlourish, inc, hereinafter known as the "media" to use my image (photographs and/or video) for use in media publications including:
Media Release Form
- I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release. (Adults)
- I am the parent or legal guardian of the below named child. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free and knowledgeable acceptance of the terms of this release.
Signature: Date:
Name (Print):
I hereby approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.
Please initial the paragraph below which is applicable to you:
(Parent or guardian signature if under 18 years old)