Required For Treatment: I consent to photographs being taken BEFORE, DURING, and AFTER my procedure. I agree to these being stored with my case file and will be used with the below written consent for promotional and social media purposes.
Photo for Personal Records X Photo Consent for Madison Laser Spa Social Media X Print
By participating as a client, I permit, authorize, and license the technician(s) Madison Laser Spa and their employees +1099 staff ("Authorized Persons"), to display, publicly perform, use for social media exhibit, transmit, broadcast, reproduce, record, photograph, digitize, modify, alter, edit, adapt, create derivative works, to use my image, likeness, and appearance, and all materials created by or on behalf of my participation that incorporates any of the foregoing ("Materials") on a perpetual basis in any medium or format now existing for publicity, advertising, and marketing, sales purposes, and for any purpose they deem reasonably appropriate, without further consent from or royalty, payment, or other compensation to me. I agree that all right, title and interest in and to all such Materials is the exclusive property of the Authorized Persons/Business. Accordingly, I release the Authorized Persons/Business from all liability or responsibility that may arise from the acts that I have authorized or consented to in this Section. I am signing my name below stating that I understand everything pertaining to use of likeness and release.