MODEL RELEASE FORM

I hereby authorize Lyn Laswell Photography (the Photographer) of 1316 Highland Dr. Amory, MS 38821 for past use and permission for present and future use of photographs or other images taken of (the Photographed Party), as more fully explained in this Consent and Release.

For value received, receipt of which is hereby acknowledged, the Photographed Party hereby grants consent to the Photographer, its agents, employees, licenses and successors in interest (collectively, the Released Party) and authorizes the use of any and all photographs taken of her, and any reproduction of them in any form in any media whatsoever, and in any derivative work based thereon throughout the world, and to use them to publicize, promote and advertise.

  • The photographed Party also consents to the use of her own name of any fictitious name which may be chosen in connection with the aforesaid photographs.

  • The Photographed Party hereby released any and all claims whatsoever in connection with the use of her photograph and name and the reproduction thereof as aforesaid.

  • The Photographed Party hereby waives any right that she may have to inspect and/or approve the Book or the advertising copy that may be used in connection therewith or with the use to which it may be applied.

  • The Photographed Party hereby release and hold harmless Hello Fral Photography from any reasonable expectation of privacy or confidentiality for himself/herself and/or any minor child and/or children listed below associated with the images specified above.  

THE PHOTOGRAPHED PARTY WARRANTS THAT HE/SHE IS THE UNDERSIGNED AND THAT HE/SHE HAS READ THIS CONSENT AND RELEASE PRIOR TO THE SIGNING OF THE DOCUMENT, THAT THE UNDERSIGNED UNDERSTANDS IT, AND THAT THE UNDERSIGNED FREELY ENTERS INTO THIS CONSENT AND RELEASE.


Authorization

Name

Address

Minor Model Release Form

Further, the Photography Party attest that they are the parent or legal guardian of the child or children listed below and that I have full authority to consent and authorize Hello Fral Photography to use their likenesses and names.