Professional Documents
Culture Documents
Photoshootconsentform
Photoshootconsentform
sellur@uci.edu
(949)2476409
PHOTOSHOOTCONSENTFORM
Subject(personinphoto):_____________________________________________
Location:___________________________________________________________
Note:Thisisalegalbindingagreementpleasedonotsignitifyoudonotunderstandit.
RighttoUse
IgrantSanjanaaEllur,therighttotakephotographsofmeandmypropertyinconnection
withtheaboveidentifiedsubject.IauthorizeSanjanaaEllurtocopyright,useandpublishthesameinprint
and/orelectronically.
Howphotoswillbeused
IagreethatSanjanaaEllurmayusesuchphotographsofmewithorwithout
mynameandforanylawfulpurpose,includingbutnotlimitedtoforexamplesuchpurposesaspublicity,
illustration,advertising,andWebcontent.
LiabilityWaiver
IwaiveSanjanaaEllurofallliabilityofassociatedwiththisphotoshoot.Thisincludes,but
isnotlimitedtoloss/damageofpersonalitemsaswellasinjuriestoindividuals,includingmyself.
Fees
Fees(Donations)arenotdueuntilthesubjecthaspreviewedthephotosandiscontentwiththe
results.Paymentconstitutescontentmentwiththephotos.Sinceyougettoseetheworkbeforeyoupay,I
cannotofferanyrefundsorpriceadjustmentsafterpaymentissubmitted.
Ihavereadandunderstandtheabove:
NameofSubject:________________________________________________
DateofBirth:__________________________________
AdditionalName(s)ofSubject(s)Included:
___________________________________________________________________________
Address:___________________________________________________________________
City:_____________________State:_________________________Zip:_______________
Phone:_________________________Email:_______________________________________
ParentorGuardian'sName(ifapplicable):
___________________________________________________________________________
Signature(parentorguardian'ssignaturerequiredifsubjectisundertheageof18):
____________________________________________________Date:_____________
PhotographersSignature:Date:_________________
___________________________________