Model Release *
Model Release
For good and valuable consideration, mutually agreed upon, I hereby grant to David Quintanilla, and his legal representatives and assigns, the irrevocable and unrestricted right to use and publish the photographs of me, or in which I may be included but not limited to art galleries, photography books, editorial trade, advertising, and any other purpose and in any manner or medium, and to alter and enhance the same without restriction. I hereby release the photographer and his or her legal representatives and assigns from all claims and liability related to said photographs. I hereby represent that I am over the age of 18 years. Fill out this form in full and click on your online signature to agree to the terms listed.
example: (900) 900-0000
Date of Birth, example: 01/14/82
Sex *
E- Signature for Model Release *
I acknowledge and accept all of the terms above. By clicking yes it is representing my online signature.
Ethnicity *
Tattoos *
Piercings *
In addition, shoot us 2-3 clear and current face photos and full body photos of you. They do not need to be professional but they do need to be of what you currently look like. Thank you email this to Please make sure you include your full name in the email. Please feel free to submit any questions or notes below.