I (Please Print model’s name),                                          Get printable form

for good and valuable consideration, the receipt of which is acknowledged, give to Lloyd Harrison Whitling (Photographer), and all his legal representatives, successors, and all persons or corporations acting with his permission, unrestricted permission to copyright and/or use, and/or publish photographic portraits or pictures of me, and the negatives, transparencies, prints, or digital information pertaining to them, in still, single, multiple, moving or video format, or in which I may be included in whole or in part, or composite, or distorted in form, or reproductions thereof, in color or otherwise, made through any media in his studio or elsewhere for art, or any other lawful purpose. I will hold him blameless for actions committed by others without his permission.

I hereby waive any right that I may have to inspect and approve the finished product or copy that may be used in connection with an image that the Photographer has taken of me, or the use to which it may be applied.

I further release the Photographer, or others for whom he is acting, from any claims for remuneration associated with any form of damage, foreseen or unforeseen, associated with the proper commercial or artistic use of these images unless it can be shown that said reproduction was maliciously caused, produced and published for the sole purpose of subjecting me to conspicuous ridicule, scandal, reproach, scorn and indignity.

I acknowledge that the photography session was conducted in a completely proper and highly professional manner, and this release was willingly signed at its termination. I further certify in regard to pictures I may have submitted myself, that I am sole owner of their copyright and have the authority to transfer that copyright according to the terms of any agreements I may make or have made. I certify that I am not a minor, and am free and able to give such consent.

 (Witness 2)

Professional photographer's release (or write 'self' if you own the copyright)

___________________________________________________________

This form will be retained with the negatives, transparencies, and/or proofs.

Date used [                       ] Reference # [                         ]

You will be contacted by phone only in the event of questions needing answers. You will be contacted by eMail only to acknowledge receipt of your submission and to notify you when and where your photos may nave need placed. Maintain a copy of all documents, correspondence and pictures in a safe place. This will not give you credits if we cannot inform you of your successes. You will not be contacted for any reason not linked to your submission. No one will be given nor purchase access to your private information. All of your contributions and submissions, and the accompanying documents, will be kept strictly confidential.