Child Release

(Consult Your Attorney Before Using)

Date:_________________________
To: _________________________


Gentlemen,

I hereby grant to you permission and consent to photograph, (by video photography or still photography and with or without sound track) the image, 
voice and name of (Name of child here)_________________________
for use in a promotional video described as 
follows:
_____________________________________________________
_____________________________________________________
and to use such images and recorded sounds in the exhibition, advertising, editorial use and publicizing thereof as you, your assigns, successors, and licensees may elect. 
GUARDIAN'S CONSENT I am the parent or guardian of the above named minor and hereby approve the foregoing use subject to the foregoing terms and conditions.


Very truly yours,
_____________________________ (Name)
_____________________________ (Address)
_____________________________ (City, State, Zip)