MODEL RELEASE
DATE__________ORGANIZATION_______________________________
PHOTOGRAPHER_____________________________________________
ADDRESS_____________________________________________________
CITY______________________STATE_____________ZIP_____________
For valuable consideration, $___________, I hereby irrevocably consent to and authorize the use and reproduction by you, or anyone authorized by you, of any and all slides or photographs which you have this day taken of me, negative or positive for any purpose whatsoever, without further compensation to me. All negatives and positives, together with the prints shall constitute your property, solely and completely.
I am over 18 years of age. YES________ NO________
MODEL NAME________________________________________________
Signature
MODEL NAME________________________________________________
Please Print
ADDRESS_____________________________________________________
PHONE_______________________________________________________
WITNESSED BY_______________________________________________
Signature of Witness
If the person signing is under 18, consent should be given by parent or guardian, as follows:
I hereby certify that I am the parent or guardian of:
______________________________________________________
Please Print
The model named above, and for value received I do give my consent without reservations to the foregoing on behalf of him or her or them.
DATED________________________________________________
Signature of Parent or Guardian
WITNESSED BY________________________________________
Signature of Witness