Portrait Project Application Form

South Seattle Community College – ART 170


Child Becomes an Adult Portrait Project

A. Subject:___________________________________________

B.

1. Email address_____________________________________

2. Title:____________________________________________

C. Photographer_______________________________________

1. Email address____________________________________

D.

Description of childhood photo:





2. What elements of the childhood photo contrast or connect with the adult photo?





MODEL RELEASE

I hereby give permission to Randy Nelson, photography instructor, to use my name and photographic likeness in all forms and media for use in the

Child Becomes an Adult Portrait Project

Print Name: Email address:

Signature:

Date:

If Model is under 18:

I, , am the parent/legal guardian of the individual named above, I have read this release and approve of its terms.

Print Name:

Signature: Date: