In consideration of ___________________________________________________ Dollars ($________________), receipt of which is acknowledged, I, __________________________________________ (print Model's name), do hereby give __________________________________________________ (the Photographer), his or her assigns, licensees, successors in interest, legal representatives, and heirs the irrevocable right to use my name (or any fictional name), picture, portrait, or photograph in all forms and media and in all manners, including composite or distorted representations, for advertising, trade, or any other lawful purposes, and I waive any right to inspect or approve the finished version(s), including written copy that may be created and appear in connection therewith. I am of full age.* I have read this release and am fully familiar with its contents.

Witness_________________________________ Signed__________________________________

 Model

Address_________________________________ Address_________________________________

Date ___________, 20 ___

Consent (if applicable)

I am the parent or guardian of the minor named above and have the legal authority to execute the above release. I approve the foregoing and waive any rights in the premises.

Witness_____________________________ Signed____________________________________

                                                                         Parent or Guardian

Address_____________________________ Address___________________________________

Date ___________, 20 ____

* Delete this sentence if the subject is a minor. The parent or guardian must then sign the consent.