Portfolio Photography Release Form Minor

Parent or Guardian Print Name (required)

Minor's Print Name (required)

Date (required)

Phone (required)

Email (required)

Street Address (required)

City, State, Zip (required)

For valuable consideration received, I grant to the Photographer and its legal representatives and assigns, the irrevocable right to use and publish photographs, still or moving, of my child or in which his/her may be included, for the restricted purposes of self-promotion, including advertising the Photographer’s business, in any manner and medium; and to alter and composite the same without restriction and without my inspection or approval. I hereby release Photographer and his/her legal representatives and assigns from all claims and liability relating to said photographs.

Signature (required)