MODEL RELEASE FORM

In exchange for consideration received, I hereby give permission to [ your name here ] to use my name and photographic likeness in all forms and media for advertising, trade, and any other lawful purposes.

Print Name:_________________________________________________________________

Signature:__________________________________________________________________

Date:______________________

If Model is under 18: I,________________________________________, am the parent/legal guardian of the individual named above.

I have read this release and approve of its terms.

Print Name: ______________________________________________________________

Signature:________________________________________________________________

Date: ____________________________________________________________________