PHOTO RELEASE AND PERMISSION FORM
Illuman East Coast Collaborative – Elder Rites of Passage (May 2025)

I hereby grant permission to IllumanDC, the Illuman East Coast Collaborative, and Illuman National to use photographs or video images taken of me during the May 2025 Elder Rites of Passage event.

I understand that these images may be used in printed publications, on organizational websites, in promotional materials, and/or in social media platforms for the purpose of sharing the spirit and mission of Illuman. I waive any rights of compensation or ownership in connection with the use of these images.

Please check one:

I agree to the use of my image as described above

I prefer that my image not be used

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First Name

Last Name

Date

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Signature

Checking here counts as my personal authorization and signature

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