KMTA Photo Contest Model Release Form

KMTA Photo Contest Model Release Form
I hereby give permission to the photographer listed below and Kenai Mountains-Turnagain Arm National Heritage Area to use my photographic likeness and possibly publish my photo in promotional material.

If Model is under the age of 18 please have a parent/guardian give their name and sign for them.
Model's Name

First NameLast Name
Parent/Guardian's Name

First NameLast Name
Parent/Guardian's Email
example@example.com
Model's Email
example@example.com
Model's Signature / Parent or Guardian Signature

Clear
Photographer's Name

First NameLast Name
Photographer's Email
example@example.com
Should be Empty: