MODEL/SUBJECT NAME *

First Name

Last Name

BIRTHDATE *

MM

DD

YYYY

PARENT OR LEGAL GUARDIAN NAME (REQUIRED IF MODEL/SUBJECT IS UNDER 18 YEARS OF AGE ON DATE OF PHOTO SESSION)

First Name

Last Name

PHONE *

(###)

###

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PUBLICATION RELEASE: I, as the subject or legal guardian of the subject listed above, grant Anthem Photography and Jaime Russell publication rights which allow the photographer to post images online (website, Facebook, blog, Pinterest, etc.) for portfolio building and marketing purposes and to use the images in electronic and print advertising. *

I acknowledge and accept the terms of the Publication Release.

PRINTS AND DIGITAL IMAGES: Digital images or prints that may be given to or purchased by the model/subject listed above are protected by copyright and may not be edited, digitally scanned, reproduced, or altered in any manner without written permission from Anthem Photography. If the model/subject is granted permission to post the images online, a photo credit citing Anthem Photography and linking to www.anthem-photo.com (www.facebook.com/AnthemPhotoKC on Facebook, and @anthem_photography on Instagram) must accommodate the image. Watermarks must not be cropped or removed from the image. The model may not sell printing rights or digital images and may not transfer or sell printing rights to any other individual/group at any time. *

I acknowledge and accept the Prints and Digital Images terms.