Model Release Form

Form must be filled out completely before participating in a Landscape Structures photo or video shoot.

Park/Site Location Information:

Pick the location & site date

Parent/Guardian Information:

If participant is under age of 18, parent or legal guardian must consent to participate.

Parent/Guardian First Name

Parent/Guardian Last Name

Address

City

State/Province

Zip/Postal Code

Country

Email Address

Child/Participant(s) Information:

Provide name and age for each participant including yourself if attending the photo shoot. If you have more than 5 participants, please complete the form a second time.

Participant 1: First Name

Participant 1: Last Name

Participant 1: Age

Participant 2: First Name

Participant 2: Last Name

Participant 2: Age

Participant 3: First Name

Participant 3: Last Name

Participant 3: Age

Participant 4: First Name

Participant 4: Last Name

Participant 4: Age

Participant 5: First Name

Participant 5: Last Name

Participant 5: Age

Consent:

Please read the full model release agreement and our full privacy policy before consenting to the following questions.

I agree to the model release terms & have read the privacy policy.

I agree

Today's Date (mm/dd/yyyy)

Participant Signature - if over 18 (typing name represents signature)

I am the parent or legal guardian of the above mentioned minor(s) and have the legal right and authority to execute the above release on behalf of the minor.