Model Release Form

 

By signing below you give Face Reality Acne Clinic and Skin Care permission to use your photographs and treatment notes in their publications, advertising and other forms of media. You understand these items will be reused, published, and republished individually or in connection with other material, in any and all media now or hereafter known, including the internet, printing and for any purpose whatsoever, specifically including, promotion, advertising and trade, without restriction as to alteration.
Please type your name in ALL CAPS to sign
Please type your name in ALL CAPS to sign