Legal Name *

First Name

Last Name

Please Check * By filling out this digital release form, I (Name Listed Above) hereby grant Dream Sugar Cafe permission to use the photography (or other content) submitted for their interview, including their website & internet postings. I verify that Dream Sugar Cafe has the right to distribute, promote, and post the people or photos and other content as we see fit for our website and social media pages. I certify that this work of art is not plagiarized from another source. *

Yes

Please Check * I understand that the picture(s) (or other content) I submit to Dream Sugar Café Magazine may be used in their publication in print or digitally as well as on their website and other social media and internet postings. *

Yes

Please Check * I understand that by completing this form only allows Dream Sugar Café Magazine to use my photos (or other content) in their publication, and at no time will Dream Sugar Café Magazine assume rights to the photos (or other content) themselves, other than me allowing them the right to publish the photos (or other content) submitted and should they then post pages from the publication on their website or in internet postings. *

Yes

Please Check * I understand that at no time shall I be paid, re-imbursed, compensated, given a free magazine, or given royalties, now or at any point in the future by Dream Sugar Cafe. *

Yes

Please Check * I hereby irrevocably authorize Dream Sugar Cafe Magazine to copy, exhibit, publish or distribute these photos (or other content) in their publication for purposes of publicizing Dream Sugar Cafe Magazine in their publication, website or internet postings or for any other lawful purpose. I are also give the right for Dream Sugar Cafe Magazine to make any necessary edits (i.e. crop/resize .....) to fit the publication. *

Yes

Please Check * I hereby hold harmless and release and forever discharge Dream Sugar Cade Magazine from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on the behalf of my estate have or may have by reason of this authorization. *

Yes

Please Check * I certify that I am or that the person or ALL person(s) in the photo(s) are at least 18 years of age. If I am under 18 or the people in the photos are under the age of 18, I certify that their parent or legal guardian has given approval. I have read this release and I fully understand the contents, meaning, and impact of this release. *

Yes

Please Check * I affirm that all given statements to the magazine are true. As the provider, I also understand that submissions of content, photos taken by Dream Sugar Café or completion of release, is not a guarantee of publication if the work submitted does not follow Dream Sugar Cafe Magazine criteria. We are a family-oriented faith-based company. We may respectfully decline to publish content that go against biblical teachings. Photos with drugs & alcohol, nudity, partial nudity, or any other sexual content will not be submitted. Dream Sugar Cafe Magazine has the right to void this contract under any circumstances. If Work is published, it is the duty of the provider (and not Dream Sugar Cafe Magazine) to notify all involved parties of their involvement in the final product. *

Yes

Please Check * I AGREE TO ALL OF THE STATEMENTS IN THIS AGREEMENT *

Yes