Model Release Form

Page 1

MODEL RELEASE In consideration of value received, I grant Lifetouch Inc., its related entities and assigns (collectively “Lifetouch”) the absolute and irrevocable right and permission to copyright and/or use or publish images, photographs, portraits or pictures, videos or narrative of me or in which I may be included, in whole, in part, or composite without restriction as to changes or alterations from time to time, in conjunction with my own or a fictitious name, or reproductions thereof in color or otherwise made through any means of communication (including but not limited to film, displays, samples, print media, television and the Internet) at any place for any lawful purpose whatsoever. I waive any right that I might have to inspect and/or approve the product or copy that may be used in connection therewith, or the use to which it may be applied. I release and discharge Lifetouch, its directors, officers, employees, agents and assigns from all claims and demands arising out of or in conjunction with the publication or use of the images, photographs, portraits, pictures, videos or narrative. Check one box below:

I warrant that I am of legal age and competent to execute this release (check box if 18 years of age or older)

I am under age 18. Date of birth: ______________________ (check box if under age 18)

_________________________________ Signature

______________________________ Address

_________________________________ Printed Name

______________________________ City, State, Zip

_________________________________ Date CONSENT FOR MINOR (if applicable) I am the parent or guardian of the child named above and have the legal authority to sign this Release and consent to the above. ________________________________ Signature

______________________________ Address

________________________________ Printed Name

______________________________ City, State, Zip

________________________________ Date O:/Marketing/Model Release Forms


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