PHOTOGRAPHY RELEASE FORM

• I hereby authorize Errico Counseling Services, LLC to edit, change, copy, and make any use of all photographs of me to be used for promotional materials.
• I hereby acknowledge that I will not be entitled to payment or any sort of charge for such action.
• I authorize the use of my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes.
• Upon the usage of my photographs, I consent to such materials becoming the sole property of Errico Counseling Services, LLC and that I will no longer be entitled to them, provided that it is done for lawful purposes.
• I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes of action by me or my representatives, heirs or anyone else.
• Furthermore, I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form.