Photography Consent Form

Photography Consent Form
Name
First NameLast Name
Email
example@example.com
Phone Number
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Purpose or Use of Photos
Description of Images
Number of Years of Validity of Consent
Copyright of image(s)
I grant permission and give my consent to the Releasee for the use of the following photograph(s) or electronic media images as identified below for presentation under any legal use.
I understand that the images may appear on the website managed or owned by the recipient and any other publication or broadcasts, including advertisements, leaflets, posters.
The photos shall be limited to use for {useOf}, and will not be used for any other purposes.
We will not include personal details (such as postal addresses, or telephone number) on our website, printed materials or other marketing/promotional materials.
Copyright of photographs taken {copyrightOf}
This Authorization shall be valid for {numberOf} years.
Signature
Clear
Date Signed
MonthDayYear
Date
Should be Empty: