Photo Release Form

I, hereby grant and authorize Pro Dental Group the right to take, edit, alter, publish and make use of any pictures or video taken of me to be used in and/or for legally promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, websites, social media and other print or digital communications, without payment or any other consideration. This authorization extends to all media, formats and markets now known or hereafter devised. This authorization shall continue indefinitely, unless I otherwise revoke said authorization in writing. 

I understand and agree that these materials shall become the property of Pro Dental Group and will not be returned. 

I hereby hold harmless, and release Pro Dental Group from all liability, petitions, and causes of action which I, my heirs, representative, executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate.