Photo Model Release Form

In exchange for consideration received, I hereby give permission to Name_Of_Business

(YOUR_Name) to use my name and photographic likeness in all forms and media for
advertising, trade, and any other lawful purposes.

Print Name: __________

Signature: _____________

Date:

(If the above are not over the age of 18, no signature is required.)

(If the above is under 18, legal guardian to sign below).

I, , am the parent/legal guardian of the individual named above, I have

read this release and approve of its terms.

Print Name: ____________

Signature: ______________

Date:

Photographers Information

Company: Company Name

Photographer: Your Name

Signature: ______________

Date: ______________