I grant to John Fischer Photography the right to take photographs of me and/or my property.  I authorize John Fischer Photography, its assigns and transferees to copyright, use and publish the same in print and/or electronically, in conjunction with the "Life in Ulster County" photo series.  (Name subject to change)

I agree that John Fischer Photography may use such photographs of me and/or my property with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, books, art shows, slide shows, and web content, including social media.

I agree not to publish the photos online or in print without written consent from John Fischer Photography.

Note:  The photos John shoots are meant to tell a story about "Life in Ulster County".  While being included may be beneficial to you or your business, that is not the intention of these photos.  

I have read and understand the above:

Name *
Only necessary to fill this part out if you are representing a company as opposed to just yourself
If you leave this blank I will clarify later if necessary
Audio Recording *
John Fischer has my permission to record audio of our conversation
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