Legal Name *

First Name

Last Name

I ALLOW MY IMAGES TO BE USED FOR MARKETING AND/ OR PUBLICIZED. *

I hereby authorize Liza Sue Productions, LLC, Premier Boudoir and Cleveland's Boudoir Photographer, hereafter referred to as “Company,” to publish photographs taken of me, and my name and likeness, for use in both the Company's print, digital, online and/ or video-based marketing materials and for use in any publications online and/or print that the company submits my images to, as well as any other Company publications or any publications the company submits my photos to. I hereby release and hold harmless the Company from any reasonable expectation of privacy or confidentiality associated with the images specified above. I further acknowledge that my participation is voluntary and that I will not receive financial compensation of any type associated with the taking or publication of these photographs or participation in company marketing materials or other Company publications or other publications and or promotions. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. By selecting YES below you agree to this release.*

YES