Photography Waiver

 

Please fill out this Photograph & Authorization waiver

Consent To Photograph & Authorization For Use or Disclosure *
In consideration of the mutual covenants contained herein authorize my photograph/video taken of me by Reforming Foundations Pilates & Wellness, LLC, to be reproduced for the purpose(s) of editorial, illustration, advertising, trade or any digital, print or other publication or social media channel of Reforming Foundations Pilates & Wellness, LLC; and hereby release and discharge Reforming Foundations Pilates & Wellness, LLC, its employees, officers, representatives or agents, from any and all suits, causes of action, claims, demands or obligations of any kind arising out of the reproduction of my photograph/video for the above stated purposes. I acknowledge that I have read, and understand, the release and indemnification provisions set forth in the preceding paragraph, and agree to such terms.
Please type your full name. Your actual signature will be taken at the time of your session.
Today's Date *
Today's Date