Do not use photo Form

This form must be completed each year that the subject is photographed by our company

Being photographed by My Legacy Matters gives us the right to use your images for publication unless we receive written notification that you do not want your image used. 

Completing this form will notify us that you do not want your image used. We will confirm your request by e-mail within 10 days. 

I do not give permission to My Legacy Matters to use my name and photographic likeness in any forms or media for advertising, trade, and any other lawful purposes. Also, I do not give permission to use my name or the name of my child’s name and likeness in connection.

Subject Name *
Subject Name
Parent Name *
Parent Name
Phone *
Phone