Brigitte Kaiser Photography

Permission to Use Photograph

I grant to ___________________, the right to take photographs of me and my family.  I authorize she has the right to copyright, use and publish use such photographs of me 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:

Signature _________________________________

Printed name ______________________________

Date _____________________________________

Signature, parent or guardian _______________________
(if under age 18)

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