Model Consent Form

Name

First

Last

Name

First

Last

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Consent and Authorization

I hereby grant permission to the photographer named above to photograph me during the photography session.
I hereby warrant that I am eighteen (18) years old or more and competent to contract in my own name.
I hereby warrant that I understand that my images will be sent to 3rd Party printing shops if I purchase any physical media

Waiver and Release

I hereby warrant that I understand that these images may be used for promotional purposes if I sign the additional 'Media Release Form'
I release the photographer from any liability for damages or injuries incurred during the photography session.

Digital Signature

Date of Agreement