Refresh Evolution

Complete Laser & Wellness Health Care

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Photo Release Form

Photo Release Form

The undersigned enters into the following agreement with Refresh Evolution Inc “Distributor”. I have been informed that Refresh Evolution Inc is capturing before and after photos and that my name, likeness, image, voice, appearance and/or performance is being photographed and may be published for the purposes of advertising the results of my treatment.

  1. I grant Refresh Evolution Inc and its designees the right to use the photo in any format, now known or later developed. I grant, without limitation, the right to edit, mix or duplicate and use or re-use photo in whole or in parts as the Distributor may elect. Distributor or its designees have complete ownership of the photo, including copyright interests.
  2. I grant Distributor and its designees the right to broadcast, exhibit, market and otherwise distribute the photo, in whole or in parts, and alone or with other products, for any purpose Distributor or its designees determine. This grant includes the right to use the photo for promoting or publicizing.
  3. I have the right to enter into Agreement and am not restricted by commitments to third parties.
  4. Distributor has no financial commitment or obligations to me as a result of Agreement.
  5. In consideration of all the above, I hereby acknowledge receipt of reasonable and fair consideration from Distributor. I have read, understand and agree to all of the above and that the rights granted Distributor herein are perpetual and worldwide:
  • Date Format: MM slash DD slash YYYY
  • ELECTRONIC CONSENT: Please select your choice below. Clicking on the "agree" button below indicates that: • I have read and fully understand this agreement and all information detailed above

Launch Event

October 23rd 7-9pm

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Accessibility Statement

Pitt Meadows Location

Refresh Evolution - Pitt Meadows
#105-10996 Barnston View Road.
Pitt Meadows BC V3Y 0B9
Phone: 778-806-4758

Port Moody Location

Refresh Evolution - Port Moody
86 Kyle Street
Port Moody BC V3H 1Z3
Phone: 778-806-4758

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