Permission to Use Photo Release Form
Owner of the Photos
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
List of Images that is to be released
Rows
File Name
Description
Date
Location
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Consent / Permission
I authorize and grant 123 PHOTOS to take the photos listed in the table above.
I grant 123 PHOTOS to use my photos in print, or in digital materials. It can also be used in a social media platforms like Facebook, Twitter, Instagram, and other social media platform.
I allow 123 PHOTOS to edit, alter, copy, or distribute the photos for media advertising and marketing.
I agree that the photos listed above will now belong to 123 PHOTOS.
I understand that I will not receive any monetary compensation.
I do not authorize 123 PHOTOS to resale the materials.
I also do not permit 123 PHOTOS to use these materials that can harm me or others.
Signature of the Owner
Date Signed
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature of the representative from photography company
Date Signed
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: