Participant Name *

First Name

Last Name

Phone *

(###)

###

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Photo release *

To be featured in this project, a release granting Anthem Photography publication rights is required. By checking below, you acknowledge that you allow the photographer to publicize images of yourself and responses to the questions above online, on social media, and to use the images in electronic and print media in perpetuity.

I grant Anthem Photography the rights to publicize responses to questions above and images from my photo session in all manners listed above, in perpetuity.