Liz Kepner Photography, Model Release Form

LKepner Photography
Model Release Form

Liz Kepner w/LKepner Photography
Location

Brief Description

Date of Photo Session		(mm/dd/yyyy)

Enter the validation letters

I hereby give the above photographer permission to use my picture and I authorize the use and reproduction of it by you, or anyone authorized by you. This includes any and all photographs which you have this day taken of me, for any purpose whatsoever, without compensation to me. All negatives and positives, together with the prints shall constitute your sole property.

I am 18 years of age or older Yes No

Model		Date

IMPORTANT! If the Model is under 18 years of age, a parent or legal guardian must also sign:

Parent/Guardian		Date

Address

Phone Number

Email Address

		Clicking this link (Submit) constitutes your electronic signature and will be received and filed by LKepner Photography as an official document.