This form is intended for the Photographer to release the reproduction of photo(s) by Storkie Express solely for use for the customer.

The Photographer may provide consent by initialing and submitting this form.

Alternatively, the Photographer Release Form can be faxed or emailed:
FAX: 954-473-0991 ~ E-Mail:

I (Photographer Name), hereby grant (Storkie Express Customer Name) permission to reproduce the copyrighted images taken on (date). The image(s) will be reproduced on a photo greeting card, announcement or invitation.

Storkie Customer:
Storkie Order#:
Customer Email:
Photographer Name:
Photographer Tel#:
Photographer Initials:
Special Comments: