Date of Shoot

    Date Signed

    Your Full Name

    Gender
    MaleFemale
    Your Phone #

    Your Email

    Address of building/property

    Name of Building

    Street
    City
    State
    Zipcode

    I hereby authorize Snap Geek Photography to publish photographs taken of the __________________ building, located at ______________ in ____________________,
    on ___ ___ _____, and any signage and other markings on said building, for use in the Snap Geek Photography's company publications, including those that are printed, published online, or created in video form.

    I attest that I have full authorization to consent to publication of said photos. Further, I
    I hereby release and hold harmless Snap Geek Photography from any reasonable expectation of privacy or confidentiality associated with the images specified above.

    I further acknowledge that that neither I nor any building owner, manager, tenant or other party with claim to the building or who appears in the photographs, will receive financial compensation of any type associated with the taking or publication of these photographs or participation in Company publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever and that participation is voluntary.

    I hereby release Snap Geek Photography, its contractors, its employees and any third parties involved in the creation or publication of marketing materials, from liability for any claims by me or any third party in connection with my participation.

    Please sign below in the grey box
    [signature* signature-371 cols:400 background:#f9f4f4]

    I have read and understand the terms of this model release with Snap Geek Photography LLC