Photographer’s Release Form

Signature of ___________________________________________(photographer’s
name - printed)grants permission to Presents of Mind to reproduce the copyrighted
images taken on_____________ (date) for
___________________________________________(customer name).

The images will be reproduced on a photo collage announcement or invitation.

Signature of photographer releases Presents of Mind from any copyright
infringement.

Photographer, please check one box:

The copyright is being released on all photos taken for customer on the above
photo shoot date.

The copyright is being released on these selected images:

___________________________________________________________________
_____________

___________________________________________________________________
_____________

___________________________________________________________________
_____________

________________________________
Photographer’s Signature

________________________________
Date

(______) _______________________
Business Phone (for verification purposes)

All professionally taken photos must be accompanied by a signed written release from the photographer
or studio that your photo(s) originated from. Professionally taken photos submitted to Presents of Mind
without a release will not be used on your announcement/invitation and will cause delays in getting your
order completed.

I ____________________________________ acknowledge the above information is true and correct. I have read and accept
the terms, conditions, fees, class policies, and charges of Pole Control Studios. I waive and release any and all claims
whatsoever arising from my participation in Pole Control Studios fitness classes.

Signature___________________________ Date________________________________