Model Name

First Name

Last Name

Email Address

Phone Number

(###)

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Parent/Guardian's Name

First Name

Last Name

Parent/Guardian Phone Number

(###)

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I voluntarily consent that my child may act as a model for Princeton Photo Workshop classes. I give permission to Princeton Photo Workshop to use photographs and video that may include my child in their marketing and for class attendees and instructors to use such materials as well. Princeton Photo Workshop will not publish the full name of my child in marketing materials without my prior consent. I HAVE READ AND FULLY UNDERSTAND THE INFORMATION ABOVE. BY ENTERING MY NAME IN THE BOX BELOW AND SUBMITTING THIS FORM TO PRINCETON PHOTO WORKSHOP, I ACKNOWLEDGE THAT I AM A LEGALLY RESPONSIBLE PARENT/GUARDIAN OF THE CHILD WHOSE NAME APPEARS AT THE TOP OF THIS FORM AND THAT I AGREE TO THE ABOVE TERMS.

Name

First Name

Last Name