Sample Photo Release Form s3

Water Safety Magazine Photo Release Form

Photo Release Form

Water Safety Magazine

www.watersafetymagazine.com

Permission to Use Photograph or Photographs

Purpose: For website article, illustration, publicity, promotion, web content, and/or in print.

Location: Website, print, advertising materials.

I grant to Water Safety Magazine, the right to use photographs of a product, or any related illustration(s), which may include of me and my family (if provided), in connection with the article or articles, or any other content I submit to their website and/or for future print editions. I authorize Water Safety Magazine, its assigns and transferees to copyright, use and publish the same in print and/or electronically.

I agree that Water Safety Magazine may also use such photographs of a product, or any related illustration, of me and my family with or without my name and for any future lawful purpose, including for example such purposes as publicity, promotion, illustration, and Web content for promoting the Water Safety Magazine.

I have read and understand the above:

Company (if any) _______________________________________

Signature _____________________________________________

Printed name __________________________________________

Address ______________________________________________

_____________________________________________________

Date _________________________________________________

Signature, parent or guardian _______________________(if under age 18)