Photo Release Photo and Video Usage Permission Name * First Last Last Email Phone Photo and Video Usage Permission I voluntarily give Wild Ones Natural Landscapers, Ltd. and the Wild Ones Dallas Fort Worth chapter permission to use my image, recording of my voice, and my name, in print and electronically, in the media, publications, and platforms, and for the times, duration, and purposes chosen by Wild Ones, without my inspection or approval of the image or the recording, and without any compensation. This permission applies to all images and recordings made on or after the date of this permission. I will not revoke or change this permission. I am at least 18 years old. My signature below indicates my consent to this permission. I read this permission before signing it, and I fully understand its meaning and effect. Confirmation * I am at least 18 years of age and am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release. I am the parent or guardian of the minor named above, and on their behalf I agree to the permission set forth above. Parent/Guardian Name * First Last Last Signature * signature keyboard Clear Submit If you are human, leave this field blank.