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Model Release and Consent Agreement: If Model Is A Minor, Parent or Guardian Must Sign Below

This document is a model release and consent agreement for photographing an individual. It states that the individual consents to the unrestricted use of their name, image, and likeness that is captured in photographs by the photographer. The individual waives rights to approve the final images and how they are used. The individual also releases the photographer from any liabilities or claims regarding the use of the images. If the individual is a minor, the agreement requires consent from a parent or guardian.

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jeffreygovender5745
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128 views1 page

Model Release and Consent Agreement: If Model Is A Minor, Parent or Guardian Must Sign Below

This document is a model release and consent agreement for photographing an individual. It states that the individual consents to the unrestricted use of their name, image, and likeness that is captured in photographs by the photographer. The individual waives rights to approve the final images and how they are used. The individual also releases the photographer from any liabilities or claims regarding the use of the images. If the individual is a minor, the agreement requires consent from a parent or guardian.

Uploaded by

jeffreygovender5745
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MODEL RELEASE AND CONSENT AGREEMENT

1. For valuable consideration, the adequacy of which is acknowledged, for your


photographing me, and knowing that you have and will expend substantial expenses and time
in reliance upon this Release and Consent, I irrevocably and absolutely consent to the
unrestricted use by ____name of photographer____ and his heirs, successors, assigns, and
designees (“Photographer”), and those acting with Photographer’s permission and authority, of
my name and any and all photographic or other images (“Images”) of me that Photographer
creates or makes, for all purposes, in any form, in conjunction with my own or a fictitious name,
and in any and all media, including, without limitation, advertising, art, promotion, solicitation,
or trade.
2. I waive any right to inspect or approve the finished Images, advertising copy, text, or
other printed matter that may be used in conjunction therewith, or to the eventual use that the
Images may be applied.
3. I release and discharge Photographer and those acting under Photographer’s authority
from any and all liabilities, claims and demands arising out of or relating to any blurring,
distortion, use in composite form, or alteration whether intentional or otherwise, that may
occur or be produced in connection with the Images, or in connection with any processing,
alteration, transmission, display, publication or other use of the Images.
4. I hereby forever release and discharge Photographer, his heirs, legal representatives,
agents, assigns and the party for whom the photographs were made, from any and all claims,
actions and demands arising out of or in connection with the use of said Images, including
without limitation, any and all claims for invasion of privacy and libel.
5. This Agreement constitutes the sole, complete and exclusive agreement between
Photographer and me regarding the Images and I am not relying on any other representation
whether oral or written.
6. 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.

___________________________________ ____________________________________
SIGNATURE/DATE TELEPHONE #

___________________________________ ____________________________________
NAME ADDRESS

IF MODEL IS A MINOR, PARENT OR GUARDIAN MUST SIGN BELOW:


I, the undersigned, being parent or guardian of the minor whose name appears above, hereby
consent to the foregoing conditions and warrant that I have the authority to give such consent.

___________________________________ ____________________________________
SIGNATURE/DATE TELEPHONE #

___________________________________ ____________________________________
NAME OF PARENT/GUARDIAN ADDRESS

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