Model Release Form For Minors

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This model release is made by Name , an individual (the "Guardian") on behalf of Name , an individual (the "Talent") and in favor of Name Business / Individual , an individual State Photographer Business Type (the "Photographer"). In consideration of the payment of $$ Amount , the Guardian agrees as follows on behalf of the Model:

1. PERMISSION TO TAKE AND USE PHOTOGRAPHS.
Name and biographical info / Name only / Neither

(a) Permission to Use. The Photographer has full irrevocable right to take pictures, portraits, digital images, or photographs of the Model or in which the Model may be included (the "Photographs") and use, publish, reproduce, edit, exhibit, license, distribute, or otherwise exploit the Photographs, in whole or in part, and in conjunction with the Model's name (or fictitious name) For anything in any media / For a specific project only for any lawful purposeYes / No
(b) No Obligation. The Photographer's right to use the Photographs does not constitute an obligation to make use of this right.

2. ASSIGNMENT; WAIVER.

On behalf of the Model, the Guardian assigns to the Photographer all interest in the Photographs, including copyright. The Photographs and any associated negatives are the sole property of the Photographer and the Guardian, on behalf of the Model, waives any right to:

(a) inspect or approve the Photographs;
(b) inspect or approve any text, graphics, images, or other content created in connection with or combined with the Photographs; or
(c) receive any royalties or other compensation related to the Photographic Use.

3. RELEASE.

On behalf of the Model, the Guardian hereby releases the Photographer from any liability arising from the Photographic Use, including that based on copyright infringement, invasion of privacy, right of publicity, libel, defamation, or false light, or resulting from any alteration, blurring, optical illusion, use in composite form, distortion, or other modification that may occur, intentionally or otherwise, in connection with taking the Photographs, processing the Photographs, or the Photographic Use.

4. MODEL'S REPRESENTATIONS.

The Guardian hereby represents that he or she:

(a) is a legal adult and has the full legal capacity to execute this release;
(b) is the parent or legal guardian of the Model, and has full authority to grant this consent on behalf of the Model;
(c) the rights granted under this release do not conflict with or violate any other commitment the Model has; and Yes / No
(d) has not authorized and will not authorize or permit the use of the Talent's name, portrait, picture, likeness or testimonial statement in connection with the advertising or promotion of any product or service competitive to or incompatible with the Recordings; and
(d) has read this Release before signing it and fully understands its contents, meaning, and impact.

SIGNATURE PAGE FOLLOWS

The Guardian is signing this release on the date stated opposite his or her signature.

	GUARDIAN:

Date:____________________________	By:______________________________________________
	Guardian Name Street address City , State ZIP Code Yes / No

Date:____________________________	By:______________________________________________
	Model Name Guardian Street Street address Guardian City City , Guardian State State Guardian Zip ZIP Code

Yes / No	Social Security Number:_____________________________

Witnessed By:____________________________________	Date:____________________________

________________________________________________ Witness Name

________________________________________________ Address