Photo Release
SAMPLE PHOTO RELEASE FORM
I, the undersigned, do hereby consent and agree that ____________, has the right to take photographs, videotape, or digital recordings of me and/or the undersigned minor children beginning on and ending on and to use these in any and all media, now or hereafter known, and exclusively for the purpose of . I further consent that my name and identity may be revealed therein or by descriptive text or commentary.
I do hereby release to ____________, all rights to exhibit this work in print and electronic form publicly or privately and to market and sell copies. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used.
I understand that there will be no financial or other remuneration for recording me, either for initial or subsequent transmission or playback.
I also understand that is not responsible for any expense or liability incurred as a result of my participation in this recording, including medical expenses due to any sickness or injury incurred as a result.
I represent that I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement.
Name: __________________________________________________________
Date: ___________________________________________________________
Email Address: ____________________________________________________
Mailing Address: __________________________________________________
Phone: _________________________________________________________
Signature: ______________________________________________________
Names and Ages of Minor Children:
Name: _________________________________________________________________________________
Age: _____________________________________________________________
Name: _________________________________________________________________________________
Age: _____________________________________________________________
Name: _________________________________________________________________________________
Age: _____________________________________________________________
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