Forms

Publication Authorization Form

Date of visit at Manta*
DD slash MM slash YYYY
Publication Authorization Form
During the various dives and courses offered by the Manta Isrotel Diving Center, we photograph and/or film the participants for promotional purposes, and we would therefore appreciate your consent to appear in these photographs and/or video footage. 1. By signing, I authorize the Isrotel hotel chain to use all photographs and/or video footage in which I appear.2. I am aware that the Isrotel hotel chain may use the raw images and/or raw video footage for an indefinite period and in any media, including the chain's website and other promotional material.3. I am aware that the raw images and/or raw video footage taken, as well as the photographs and/or video footage produced as a result, are protected by copyright laws and are the sole property of Isrotel, and I will not take any legal or financial action whatsoever regarding such material.
If the form is for a minor under the age of 18, add his name in the designated place and fill in the details of the parent / guardian later in the form.
Full name of the minor
First name*
Last Name*
ID number
Instagram name (optional)
Signature*
Name
This field is for validation purposes and should be left unchanged.