Social Media Influencer Photography Release Form

Project/Influencer Name:
Date:

Photographer Details

Name:
Contact Information:

Influencer/Model Details

Name:
Contact Information:
Social Media Handle(s):

Release Details

I hereby grant permission to the above-listed Influencer/Photographer to use photographs taken of me, in connection with their social media and promotional content, in any and all of its publications, including web-based publications.

Usage Purpose/Platform(s):
Other Terms/Restrictions:
Influencer/Model Signature:
Date:
Photographer Signature:
Date: