Photo Release Form for Minors Activity Date MM DD YYYY Activity Kind Location of Event Address 1 Address 2 City State/Province Zip/Postal Code Country Minor Child Name First Name Last Name Minor Child DOB MM DD YYYY Minor Child Age Parent/Guardian Name First Name Last Name Relationship Phone Number (###) ### #### Email Address Address 1 Address 2 City State/Province Zip/Postal Code Country Company Name Contact Person First Name Last Name Phone Number (###) ### #### Email Photographer's Name First Name Last Name Would you like to reveal the identity of the child? Yes No Thank you!