This is a Model Release Form. By filling out the form and clicking "submit" below, you grant unrestricted permission to Future Stars Sports Photography Inc. to all images and media of the model named below.

Such use includes, but is not limited to the display, advertisement, marketing, distribution, publication, transmission and general use of all forms of images and media to be used in print, digital use and social media. My understanding is that the model's given and/or last name will not be published unless I have provided separate, expressed written consent to do so. I therefore acknowledge that Future Stars cannot be held responsible should a third party reveal the model's name as part of a comment on social media.

I further state my permission is voluntary. I will receive no financial compensation in relation to images or media. I waive any right to inspect or approve images or media in original, edited, composition, or altered form. I release Future Stars Sports Photography Inc., its assigns, licensees, successors in interest, legal representatives, and heirs from any current or future liability connected with any images or media. This permission applies to individual named in the "Model Name" field of this form, for which, I have legal authority to sign for.

I agree

Your Name (first and last please) (required - parent, legal guardian or model over the age of 18)

Your Email (required)

Your Phone Number (required)

Model/Athlete Name (first and last please)(required)

League, Studio or Club for which the model/athlete was/will be photographed (required)

Date, (or approximate date), of photo shoot when model/athelte was/will be photographed