Model Release
PHOTO RELEASE ___Model(s) ___Animal(s) ___Property
For valuable consideration received, I herby grant to Lisa Loucks-Christenson the Photographer, and her legal representatives and assigns, successors, the irrevocable and unrestricted right, in perpetuity, to use and publish photographs of me, my animal, my property, and any photos of me in which I may be included: for editorial, trade, advertising and any other purpose and in any manner and medium; to alter the same without restriction; and to copyright the same, without my approval of images. I hereby release Photographer, Lisa Loucks-Christenson, and her legal representatives and assigns, successors, from all claims and liability relating to said photographs.
Name_________________________Date____________
Signature________________________________________
Tel.(______)________-__________
E-Mail______________@___________
Address_______________________________
City_____________ ST______ Zip_____________
If Minor, Signature of Parent/Guardian____________________________________
Witness________________________________
Date: ______________________________
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Office:
Date of Shoot:___________________________
Photo Project:___________________________
Exchange________________________________
Catalog ID_________________________
Tearsheet__________________________
Mailing address: Lisa Loucks-Christenson, P.O. BOX 9177, Rochester, MN 55903