Studio Name *

Photographers First and Last Name

First Name

Last Name

Image Submission *

I agree the photographer has my permission to submit images of my son/daughter to a national print/digital magazine hosted by SHARONTheMagazine/SHARON WALLACE PHOTOGRAPHY. I understand if selected these images will be published in a national print/digital magazine and website.

I agree/acknowledge

Publishing Images/Name *

I agree/understand in addition to publishing the images, they have the right to publish the model's name and photographer's name in connection to the images.

Compensation *

I agree/acknowledge if the images are chosen and published in the magazine, website, social media, blog or other medium, the photographer, parent or model will not be entitled to any compensation.

I agree/acknowledge

Release of claims/demands/liability *

I hereby release SHARON The Magazine, Sharon Wallace Photography, Sharon Wallace and releated representatives and assignees from any and all claims and demands arising out of or in without limitation, any and all liability arising out of publishing the images.

I agree/acknowledge

Relationship/Parent *

I agree/acknowledge I am the parent or legal guardian of the individual appearing in the images and I am in agreement with the releases, consents and covenants contained in this Model Release.

I agree/acknowledge

Model Name *

Name of MODEL who appears in the images.

First Name

Last Name

Parent/guardian Name *

First Name

Last Name

Date *

date of Parent/Guardian Signature

MM

DD

YYYY

Date *

date of Model Signature

MM

DD

YYYY