Photo Release Form
I, , the parent of a minor (the "Model") having the usual place of living at , hereby grant
(the "Photographer"), having the usual place of living at ,
the revocable permission to use and publish photographs of the Model (the "Images") taken or to be taken on as described herein, for the following purpose(s):
I understand and agree to the following:
Ownership and rights: The Photographer shall have the sole ownership and copyright of the Images.
Compensation: In consideration for the grant of rights and permissions to use the Images, the Photographer agrees to provide me with an appropriate compensation: a one-time fee of (the "Payment").
Payments should be made on the date of this release.
All payments will be made in cash.
Release and indemnification: The Photographer should use the Images for the purposes stipulated in this Photo Release Form in accordance with the requirements of applicable laws. I release and discharge the Photographer from any claims, demands, or liabilities, including but not limited to the claims for defamation, invasion of privacy, and moral rights infringement that may arise solely as a direct result of my intentional misconduct or gross negligence.
Model release: As the subject of the Images is a minor, I affirm that I am the parent or guardian and have the authority to grant this release on the minor's behalf.
Description of the Images:
The permission granted by this Photo Release Form may be revoked in written form.
I have read this Photo Release Form and fully understand its contents. I acknowledge that I provided my consent willingly.
Signature: _________________
Address:
Date: .