ADULT MODEL RELEASE In consideration of my engagement as a model, upon the terms herewith stated, I hereby give to_____________his heirs, legal representatives and assigns, those for whom________________is acting, and those acting with his/her authority and permission: a) the unrestricted right and permission to copyright and use, re-use, publish, and republish photographic portraits or pictures of me or in which I may be included intact or in part, composite or distorted in character or form, without restriction as to changes or transformations in conjunction with my own or a fictitious name, or reproduction hereof in color or otherwise, made through any and all media now or hereafter known for illustration, art, promotion, advertising, trade, or any other purpose whatsoever. b) I also permit the use of any printed material in connection therewith. c) I hereby relinquish any right that I may have to examine or approve the completed product or products or the advertising copy or printed matter that may be used in conjunction therewith or the use to which it may be applied. d) I hereby release, discharge and agree to save harmless [photographer], his/her heirs, legal representatives or assigns, and all persons functioning under his/her permission or authority, or those for whom he/she is functioning, from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of said picture or in any subsequent processing thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy. e) I hereby affirm that I am over the age of majority and have the right to contract in my own name. I have read the above authorization, release and agreement, prior to its execution; I fully understand the contents thereof. This agreement shall be binding upon me and my heirs, legal representatives and assigns. Dated: ________________Signed:_____________________________________ Address:__________________________________________________________ City:_____________________________________________________________ State/Zip:__________________________________________________________ Phone:____________________________________________________________ Witness:___________________________________________________________ ----------------- Minor Photo Release Form I hereby give my consent for "_your name here_" to use my photograph and likeness in publication and public presentation. I release them from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below. Signature: _________________________________ Date: ___________ Names and Ages of Minor Children: Name: ______________________________________ Age: _____ Name: ______________________________________ Age: _____ Name: ______________________________________ Age: _____ Name: ______________________________________ Age: _____ Name: ______________________________________ Age: _____ Name: ______________________________________ Age: _____ -------------------------------------------------------------------------- Minor #2 Photo Release for Children Under 18 Years of Age I hereby grant to _________________, agents and assigns the right to photograph my dependent and use the photo and or other digital reproduction of him/her or other reproduction of his/her physical likeness for publication processes, whether electronic, print, digital or electronic publishing via the Internet. Model's Signature: Model's Printed Name: Address: I certify that I am a custodial parent and have the aforementioned rights to assign. Signature of Parent or Guardian: Print Name of Parent or Guardian: Address: Date: ______________________