Please read through the options carefully, fill out the blank fields, and check the boxes that apply:

Model's Name *
Model's Name
Session Date *
Session Date
Please select one: *
By typing my name below, I understand and agree to the selection I have made and the statements that follow. I understand that I will be able to approve images before they are used and that no unapproved image will be used, shared, or printed. I have read carefully through this form and fully understand its meanings and implications. I hereby release the photographer named above and any assignees from all claims and liability relating to images, video or photographs taken of me.
Today's Date *
Today's Date