Model Release

Name *

First Name

Last Name

Date of Birth *

Date of Birth of Model

MM

DD

YYYY

Name of Parent or Legal Guardian

If the model is under the age of 18.

First Name

Last Name

Phone *

Secondary contact method if social media or email does not work.

(###)

###

####

Date of Photoshoot *

When were the photos taken?

MM

DD

YYYY

Acknowledgement *

I understand and give my permission to post images of me, or my family, to social media, on Mountain Empire Studio's Website, and use in marketing materials.

I Agree

Social Media Acknowledgement *

By agreeing you understand the copyright to the images is the property of Mountain Empire Studio's LLC. And by agreeing, all images you post to social media or the internet will be properly credited toward Mountain Empire Studio's, with our website or direct link to our Facebook page and/ or Instagram profile.

I Agree

Trade Agreement *

Since this shoot is a trade you are able to post and use images for promotional purposes, such as portfolios and profile images; but neither party can sell the images unless both parties agree.

I Agree