Girls Who Click Photo Release Form

Photo Release

I agree to grant to Girls Who Click and its authorized representatives permission to record on photography film and/or video, pictures of my participation. I further agree that any or all of the material photographed may be used, in any form, as part of any future publications, brochure, or other printed materials used to promote Girls Who Click, and further that such use shall be without payment of fees, royalties, special credit or other compensation.

Model Information

Participant Name *

First

Last

Parent/Guardian Name *

First

Last

Phone *

Email *

Signature of Parent/Guardian *

Date Signed *

Confirmation *

I confirm that I have read and understood the agreement above titled "Girls Who Click Photo Release Form" and that my signature above applies to this agreement.

Parent Email for Confirmation *

Confirm Email

Name