PLEASE REVIEW AND SIGN BEFORE THE PHOTO SHOOT BEGINS.

PHOTOGRAPHIC RELEASE AND CONSENT AGREEMENT

("Release for a Minor")

Photo Shoot Description: ________________________________________________________

Minor’s Name: ____________________________________________

Location: ________________________________________ Date: _________________

I hereby grant _________________________ (Photographer) the immutable right and permission

to reproduce, modify, use, re-use, or otherwise publish, and re-publish, in any medium including,
but not limited to, print, electronic, or video format the likeness or image of my child. I relinquish
all claims against Photographer regarding copyright ownership and publication including any
claim for compensation related to use of the materials. These photos/images may be used by
Photographer without payment of fees, royalties or other remuneration to the undersigned.

MINOR’S NAME _________________________________

PARENT or LEGAL GUARDIAN (Please print) ______________________________________

PARENT or LEGAL GUARDIAN (Signature) ________________________________________

DATE ____________________