Guest Form Release

Please fax to 321.259.0662 prior to the show along with ID.

You may use a digital image and e-mail it to 2257@camz.com

 

Participant Release

Date of CamZ show appearance________________________________

CamZ ID (performers username) of the performer apeared with_____________________

I, _______________________________, verify that I am at least 18 years of age at the date of this release and production.

Participant Name.

I authorize CamZ.com. the full use of all images and likeness of myself. Images may be reproduced and published by, and as the property of, CamZ.com. Images and likeness may be used at CamZ discretion.

Please check one of the following:

I authorize any images to be used including full frontal views of my likeness.

__________________________________________ _____________________

Participant Signature Date

Participant Date of Birth ______________________________

Drivers License or ID number ______________________________

Participant Address: _________________________

_________________________

Phone number: _________________________

 

Other known names and aliases including maiden name.

______________________, _____________________,________________

Witnessed by: ______________________________ ______________________

Signature Name