Photo / Video Release

Lost Pearl Creative

Please complete the following Photo Release. If you have any questions, please contact the photographer/videographer.

Adult/Minor(Required)

Adult

Minor (Under 18)

The release must be completed by a legal adult. For those under 18, the release must be completed by a parent or legal guardian.

Lost Pearl Creative has my permission to use my or my child’s photograph publically to promote the company below and the agency itself. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

Lost Pearl Creative has my permission to use my photograph publically to promote the company below and the agency itself. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

Company, Organization, or Location(Required)

Please enter the name of the organization.

Minor's Name(Required)

First Last

Please enter the name of the minor for whom the release is being made.

Your Name(Required)

First Last

Please enter your name

Phone Number(Required)

Please enter your phone number

Signature(Required)