Child Photo Release Form
This Child Photo Release Form ("Release") is designed to comply with the laws of the state in which it is executed and allows for the authorized use of photographs, video recordings, and other media types (collectively referred to as "Media") that include the image, likeness, or voice of the minor child described below. By signing this Release, the parent or legal guardian of the minor grants permission to the identified photographer or organization, and its agents or employees, to use the Media as outlined herein.
Child's Information:
- Name: ________________________
- Date of Birth: ________________________
- Address: ________________________
Parent/Guardian Information:
- Name: ________________________
- Relationship to Child: ________________________
- Phone Number: ________________________
- Email Address: ________________________
Photographer/Organization's Information:
- Name: ________________________
- Address: ________________________
- Phone Number: ________________________
- Email Address: ________________________
This Release applies to the following described event(s) or activity(ies) (the "Event"): ________________________ occurring on the following date(s): ________________________ at the following location(s): ________________________.
Grant of Rights: The parent or legal guardian hereby grants to the Photographer/Organization and its legal representatives the irrevocable right to use and publish photographs or recordings taken during the Event which include the child's image, likeness, or voice. This includes, but is not limited to, use in print, electronic, or digital media, promotional materials, advertisements, and any other public or private use. The parent or legal guardian agrees that the Media can be used without any further compensation to the child or the parent/guardian.
Limitation of Use: The parent or legal guardian understands that the Photographer/Organization agrees to use the Media in a tasteful and respectful manner. Any use that could be considered defamatory, libelous, or otherwise damaging to the child's reputation is strictly prohibited.
Release of Claims: The parent or legal guardian hereby releases and discharges the Photographer/Organization and its agents, employees, and legal representatives from all claims, actions, and liabilities relating to the use of the Media, including but not limited to any claims of infringement of privacy or publicity rights.
Duration and Scope: This Release applies in perpetuity and worldwide, unless otherwise revoked in writing by the undersigned parent or legal guardian. The parent or legal guardian acknowledges the right to revoke this agreement does not include any use of the Media that occurred prior to the revocation.
Governing Law: This Release shall be governed by the laws of the State of ________________________. Any disputes arising under this agreement shall be adjudicated in the courts of that state.
Signature of Parent/Guardian: ________________________
Date: ________________________