Photo Release Form for Minors
Activity Date
-
Month
-
Day
Year
Date
Name of the Event
Location of Event
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Minor/Child Details
Minor/Child Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age
Parent/Guardian Details
Parent/Guardian Name
First Name
Last Name
Relationship
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Details
Company Name
Contact Person
First Name
Last Name
Phone Number
Email
example@example.com
Photographer's Name
First Name
Last Name
Would you like to reveal the identity of the minor/child?
Yes
No
Back
Next
Authorization and Release Agreement
1
I allow {companyName} to take or capture photos of {nameChild}.
I understand that all photos that will be taken are copyrighted by {companyName}.
I authorize {companyName} to distribute, reproduce, for the following purposes: Portfolio showcase, advertising, marketing, branding, digital promotions, educational media. other commercial or non-commercial purposes
I grant {companyName} to use my photos on Facebook, Twitter, Instagram, and other social media platforms.
I understand that {childname} will not receive any monetary compensation.
I do not permit {companyName} to use these materials that can harm the reputation of {childname} or others.
I release {companyName} from all liability and obligations from any claim for injury, illnesses, claims, or demands.
I/We, the undersigned, hereby agree that we have read this agreement and bounded by it.
Parent/Guardian Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Should be Empty: