The Professional Photographers of Ohio, Inc. request your services as a model at our Mansfield Mayhem event on Monday, June 4, 2018.

Contract must be returned within 7 days of receipt of contract, or we will assume that you do not wish to participate. You are responsible for providing your own wardrobe. You will be provided the images taken of you in exchange for modelling.

Personal & Contact Info
Name *
I, the undersigned, for good and valuable consideration, the receipt of which is hereby acknowledged, hereby irrevocably authorize PPO to use photographs of me and or my property and authorize assignees, licensees, legal representatives and transferees to use and publish photographs, pictures, portraits or images herein described in any an all forms and media and in all manners including composite images or distorted representations, and the purposes of publicity, illustration, commercial art, advertising, publishing, for any written copy or finished product. I am of full legal age andhave read and fully understand the terms of this release. *
Typing your name and checking the box is your consent and agreement to model at this PP of Ohio event.

PPO will not be responsible for loss of any personal effects. If you have any questions about this form, please contact Susan at the PPO office at 614-407-8PPO and I will be more than happy to help you.

Click the link below to upload a head shot of yourself.