Public Release Form Authorization for Release of Photograph, Voice, Use of Likeness or Printed Quotes or Statements Authorization for use. By signing this document I hereby release to DFW Painting and its officers, agents employees, independent contractors and/or affiliates the rights of my or my company’s photograph, image, likeness, representative’s voice as recorded on videotape or film, and any oral or written statement(s), regardless of format (whether they are direct quotes or paraphrased by DFW Painting) for the purpose of promotional videos, publications, and marketing material, including Internet publications. Use of testimonial/photo/video. I understand that these testimonials and reproductions may be used in the production of materials used to promote DFW Painting, services and events or DFW Painting in general, in perpetuity. I waive any right that I may have to inspect and approve the finished product that may be used or to which it may be applied now and/or in the future, whether that use is known to me or my child(ren) or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image or product. Permission to revoke. At any time, I may revoke this permission by contacting DFW Painting’s Marketing Department. This revocation stops all future use of photos, videos and testimonials. I also understand that the choice of which reproduction is to be used, if any, is at the discretion of DFW Painting, and that the decision would be based on artistic merit, specific design needs, technical requirements, and marketing and communication strategies. I also understand that I do not have copyrights to any photographs, video or electronic reproductions made by DFW Painting. I further acknowledge that: (1) I am a person of legal age and the person identified below who is authorized to execute this release; (2) I have read this release in its entirety; (3) I fully understand and accept its terms; and (4) I have executed this release voluntarily. Name of Subject * RequiredDigital Signature * Required Check the box to sign Name of GuardianParent or Legal Guardian if under 18 years of ageDigital Signature * Required Check the Box to Sign Company (if applicable)Phone * RequiredPosition with Company * RequiredDate This iframe contains the logic required to handle Ajax powered Gravity Forms.