P.H.O.T.O.

Club
Model Release Form

I, _______________________________, allow P.H.O.T.O. Club to use my

(Models first and last name)

likeness in the photo submitted by _______________________________ in

(Photographers first and last name)

selling photos for the sake of _______________________. If the photo

(Organization of the Year)

submitted with my likeness wins Photo of the Month, I allow

P.H.O.T.O. Club to use that photo in the calendars made at the end
of the year. I agree that there will be no benefits payed to me for use
of my likeness.
***
Model Name (print): ___________________________________Date:____________
Model Signature: _________________________________________________________

Member Name (print): _________________________________Date:____________

Member Signature: _______________________________________________________
Parent Name (print): __________________________________Date:____________
Parent Signature: ________________________________________________________