• Social Media Photo Release Form

• Name
  First Name Last Name
• Age
• Date of Birth
   - Month  - Day Year

  Date
• Gender
  Male Female
• Phone Number
   - Area Code Phone Number
• Email
  example@example.com
• Address
  Street Address

  Street Address Line 2

  City State / Province

  Postal / Zip Code

• Authorization, Release, and Consent

• Can we use your name?
  Complete name First name Nickname Anonymous
• I authorize and grant {ABC Photography} to take my photos regarding my experiences with them. I grant {ABC Photography} to use my photos on Facebook, Twitter, Instagram, and other social media platform. I allow {ABC Photography} to edit, alter, copy, or distribute the photos for social media advertising and marketing. I agree that the photos belong to {ABC Photography}. I understand that I will not receive any monetary compensation.
• Signature
  Clear
• Date Signed
   - Month  - Day Year

  Date
• Submit
• Should be Empty: