Photo Release Form Caregiver's name * First Name Last Name Please enter all participant's name. That is anyone (KIDS AND ADULTS) who had participated in the class. Participant's name 1 * First Name Last Name Participant's name 2 First Name Last Name Participant's name 3 First Name Last Name Email * Photo Release Form * I grant to The Yoga Buggy, its representatives and employees the right to take photographs of the student in connection with the above-identified subject. I authorize The Yoga buggy, its assignees and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Yoga buggy may use such photographs/videos of the above participant(s) with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I have read and understand the above. Yes No Electronic Signature Consent * By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary. Thank you very much for your time. Hope to see you again soon.
