Name *

First Name

Last Name

Phone

(###)

###

####

Bellevue Pilates will be taking photos and/or film footage at today’s event. These images may be used by us in our printed and online publicity, including our Facebook and Instagram pages. They will be stored securely and will not be kept for longer than they are needed for the purposes listed above.

Your permission:

Yes, you may use photos of me taken at this event

No, please do not use photos of me taken at this event