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MM CREATIVE SOLUTIONS PHOTO / VIDEO AUTHORIZATION & RELEASE FORM
Please review and answer all questions below prior to your shoot. When done click submit. If you have any questions, please call or text Mike Mitchell at (740) 255-0177
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Subject First and Last Name
Subject First and Last Name
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Subject Birthday
Subject Birthday
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Primary Contact First and Last Name
Primary Contact First and Last Name
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Primary Contact Phone #
Primary Contact Phone #
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Primary Contact email
Primary Contact email
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Preferred contact method
Preferred contact method
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Phone
Email
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Please check all boxes that apply regarding your preferences.
Please check all boxes that apply regarding your preferences.
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I authorize MM Creative Solutions to take my photo / video.
I authorize MM Creative Solutions to use my photos / videos on social media platforms.
I authorize MM Creative Solutions to use my photos / videos on MMCreativeSolutions.com
I agree that the photos are all intellectual property rights of the photos belong to MM Creative Solutions.
I agree that I will not receive any monetary compensation for usage of my photographs / videos in social media platforms.
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add "Other"
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What is your preference regarding the use of your name?
What is your preference regarding the use of your name?
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I consent to the use of my complete name.
I consent to the use of my first name only.
I consent to the use of my nickname.
I consent to the use of my photos / videos anonymously.
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add "Other"
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Questions and comments
Questions and comments
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Final Agreement
Final Agreement
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Please review the accuracy of answers to all questions above. When done, type your full name here then click submit. By clicking submit you agree that all of the above information is accurate.
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