Model Release

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					Photograph Release for Model

I, _____________________________________________ (“Model”), hereby grant to ____________________________________ (the "Photographer"), the Photographer’s assigns, and those persons acting with the Photographer’s authority and permission, the right to take and create photographs (in all formats) and other graphical depictions incorporating my likeness, in any and all media, whether now known or hereafter created (the “Photographs”). I hereby agree that all rights in and to the Photographs, including the copyright, are and shall remain the sole property of the Photographer, free and clear from any claims by me or anyone acting on my behalf. I understand the Photographs may be posted on a website, used for illustration, promotion, art, editorial, advertising, trade, publishing, or any other purpose whatsoever. I further understand that once my image is posted on a website, the image can be downloaded by any computer. Therefore, I agree to release, discharge, and hold harmless from any claims the Photographer and the Photographer’s assigns. I am of full legal age and have the right to contract in my own name. This release shall be binding upon me and my heirs, legal representatives, and assigns. Name (Print)__________________________ Date ____________________________ Signature ____________________________ Phone ___________________________ Address ______________________________________________________________ City ___________________________________________ State ____ Zip __________ Photograph Context:_____________________________________________________ If the person signing is under age 21, there must be consent by a parent or guardian, as follows: I hereby certify that I am the parent or guardian of _________________________, named above, and do hereby give my consent without reservation to the foregoing on behalf of this person. ________________________________________________ _____________________ (Parent/Guardian’s Signature) (Date) _____________________________________________________________________

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