I, the undersigned, hereby give Pregnant Choices Medical Clinic, its agents and assigns, permission for use of the photographs they have taken of me or my children.
I further give Pregnant Choices Medical Clinic permission to use and publish the photographs they have taken of me in whole or in part, individually or in conjunction with other photographs, in any medium, for any purpose, including art, illustration, promotion, advertising or trade.
I understand that should Pregnant Choices Medical Clinic choose to use the photographs they have taken of me, or my children, that my identity will not be revealed in any way.
I hereby release Pregnant Choices Medical Clinic and its agents and assigns from all claims and demands arising out of, or in conjunction with, the use of the photographs.
I am of legal age for consent.
I have read the foregoing fully and understand its contents.