Child Art Model Release Form

Child's Information

Full Name

Date of Birth

Address

Parent/Guardian Information

Name

Relationship to Child

Phone Number Email Address

Permission

Details of Artwork/Project Additional Notes

Agreement

I, the undersigned, hereby grant permission for the child's artwork and/or likeness to be used for the specified purposes. I acknowledge that I am the parent or legal guardian of the child listed above.

Parent/Guardian Signature

Date