Photography Shoot Waiver And Liability Release Form
Complete this form before the photography session to provide contact details, shoot information, emergency contact, and waiver acknowledgment.
Participant and Shoot Details
Participant Full Name
*
First Name
Middle Name
Last Name
Preferred Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mailing City and State
Shoot Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Shoot Time
*
Hour Minutes
AM
PM
AM/PM Option
Shoot Location
*
Shoot Type / Session Purpose
*
Please Select
Portrait
Family
Wedding
Event
Commercial
Headshots
Product
Editorial
Other
Photographer / Brand Name
Participant Age
Minor Status
Adult
Minor
Prefer not to say
Parent / Guardian Name
First Name
Middle Name
Last Name
Emergency, Safety, and Special Considerations
Emergency contact name
*
First Name
Last Name
Emergency contact phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mobility or accessibility needs
Wheelchair access
Assistance with stairs
Seating breaks
Service animal
Interpreter support
Other
Special safety considerations or instructions
Waiver, Liability Release, and Image Permission
Image Use Permission
*
Permission Granted
Limited Permission
No Permission
Signature
*
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Form
Submit Form
Should be Empty: