by Pro Vision Multimedia Enterprises · Richmond, VA
Portrait Release & Consent Form
Portrait Release & Consent
Thank you for allowing Pro Vision Multimedia Enterprises to photograph you as part of the
Legacy Photos program. Your portrait may be used to help other families and communities learn
about this service. Please read the grant below, then complete the fields at the bottom.
I grant Pro Vision Multimedia Enterprises (the "Photographer") the perpetual,
worldwide, royalty-free, non-exclusive right to photograph me and to use, publish, and reproduce
my likeness, portrait, name (first name only unless otherwise agreed), and any resulting images
in the Photographer's marketing, website, printed portfolio, framed display samples, brochures,
and social-media accounts. I waive any right to inspect or approve the finished images or the
use to which they may be applied. I understand no monetary compensation is due to me for this
grant, and I release the Photographer from any claim arising from the use of the images
consistent with this release.
Subject Information
Signature
Subject Signature
Date
Witness Signature (Staff or Family)
Witness Printed Name
Complete this section only if the subject is unable to sign for themselves. A power of attorney, spouse, adult child, or legal guardian may sign on the subject's behalf.
Representative Signature (signing on behalf of the subject)
Date
Yes — please send me a complimentary print of my portrait as a thank-you.