• PHOTOGRAPHY CONSENT FORM / RELEASE

  • , hereby grant permission to Lenox Laser & Esthetics representatives, to take and use: photographs and/or digital images of me for use in news releases and/or promotional materials. These materials might include printed or electronic publications, Web sites or other electronic communications. I authorize the use of these images without compensation to me. All negatives, prints, digital reproductions shall be the property of Lenox Laser & Esthetics team representatives.