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Model Release Short Form ("Pocket Release")

Job Number:

Photographer Name: Photo Date:

Photo Location: Client/Project:

I am at least 18 years of age: Yes / No (If "no" - Parent or Guardian Signature Required). For valuable consideration received, I ("undersigned") hereby grant to Company Name ("Photographer") the absolute and irrevocable right and unrestricted permission to use, re-use, display, distribute, transmit, publish, re-publish, copy, or otherwise exploit, either in whole or in part, either digitally, in print, or in any other medium now or hereafter known, for any purpose whatsoever and without restriction, photographs taken of me, or in which I may be included; to alter the same without restriction; and to copyright the same. I hereby release and discharge Photographer, and his or her agents, representatives, and assignees from any and all claims and demands arising out of or in connection with the use of the photographs, including without limitation any and all claims for invasion of privacy, right of publicity, and defamation.

Signature: Guardian Signature:

Address: Date when the contact was signed. Model Release Short Form ("Pocket Release").

Job Number:

Photographer Name: Photo Date:

Photo Location: Client/Project:

I am at least 18 years of age: Yes / No (If "no" - Parent or Guardian Signature Required). For valuable consideration received, I ("undersigned") hereby grant to Company Name ("Photographer") the absolute and irrevocable right and unrestricted permission to use, re-use, display, distribute, transmit, publish, re-publish, copy, or otherwise exploit, either in whole or in part, either digitally, in print, or in any other medium now or hereafter known, for any purpose whatsoever and without restriction, photographs taken of me, or in which I may be included; to alter the same without restriction; and to copyright the same. I hereby release and discharge Photographer, and his or her agents, representatives, and assignees from any and all claims and demands arising out of or in connection with the use of the photographs, including without limitation any and all claims for invasion of privacy, right of publicity, and defamation.

Signature: Guardian Signature:

Address: Date when the contact was signed.