Filming and Still Photography Release Form
To be completed by photographer, videographer, or designated representative:
Date of Work: _________________
Arrival Time: _________________
Departure Time: _______________
Equipment Involved:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Name: ___________________________________________________________________
Address: _________________________________________________________________
_________________________________________________________________________
Phone: ____________________________ Fax: ___________________________________
Email:____________________________________________________________________
Type of Photography (digital, film, etc.):_________________________________________
Purpose and subsequent use/distribution of photographs or film (separate sheet may be attached):
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________