Permission for Photography

For valuable consideration received, I grant to ____________________________ ("Photographer") and his/her legal representa-
tives and assigns, the irrevocable and unrestricted right to use and publish photographs of me, or in which I may be included, for
editorial, trade, advertising, and any other purpose and in any manner and medium; and to alter and composite the same without
restriction and without my inspection or approval. I hereby release Photographer and his/her legal representatives and assigns
from all claims and liability relating to said photographs.

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MODEL'S SIGNATURE WITNESS SIGNATURE

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PRINT NAME WITNESS SIGNATURE

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MODEL’S DATE OF BIRTH ADDRESS

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ADDRESS ADDRESS

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ADDRESS TODAY’S DATE

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EMAIL ADDRESS

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TODAY’S DATE

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LEGAL GUARDIAN SIGNATURE (if under 18)

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PRINT NAME

StudioBinder accepts no legal responsibility for the use of StudioBinder templates