Photo Release Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name of Individual Being Photographed *FirstLastAge *Email of Individual * Conditions Can of Phone *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePlatforms Where Photos Can Be Shared *FacebookInstagramCan We Use Your Name?Complete NameFirst NameNicknameNo name be usedConditions *I agree to the following termsBy participating in services provided by The Malorie Method, I grant The Malorie Method and its representatives, employees, and agents the irrevocable right to capture, use, and publish my image and likeness in photographs, videos, or other media (“Images”) taken in connection with its services or events. I understand and agree that these Images may be used for promotional purposes, including but not limited to social media, website content, printed materials, and advertising. I acknowledge that The Malorie Method will own all rights to these Images and may edit, reproduce, distribute, or display them at its discretion, without further approval from me. I waive any right to inspect or approve the final use of the Images. I release and discharge The Malorie Method from any and all claims, demands, or causes of action that may arise from the use of these Images, including but not limited to claims for defamation, invasion of privacy, or infringement of rights of publicity. I affirm that I am at least 18 years of age and legally competent to sign this release. If I am under the age of 18, I confirm that my parent or legal guardian will provide consent by signing below. This release is binding upon me, my heirs, legal representatives, and assigns.Date of Agreement *Submit