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Lesson Plans


Re: Model release

[ Thread ][ Subject ][ Author ][ Date ]
GTBlack
Wed, 30 Apr 1997 22:18:50 -0400 (EDT)


Here is a sample model release I have used for a number of years.
-Geoff Black
---------

Model Release Form

I hereby give>>name of school<< irrevocable right and permission, in
connection with the photographs / negatives / videos / digital images taken
of me, or in which I may be included with others, the following:

a) The right to use and reuse, in any manner at all, said photographs /
negatives / videos / digital images, in whole or in part either by themselves
or in conjunction with other photographs / negatives / videos / digital
images in any medium and for any purposes whatsoever, including all
promotional and advertising uses as well as using my name in connection
therewith if it is so desired; and

b) The right to copyright said photographs / negatives / videos / digital
images in the name of >> name of school <<.

I hereby forever release and discharge >> name of school << from any and
all claims, actions and demands arising out of, or in connection with, the
use of said photographs / negatives / videos / digital images, including,
without limitation, any and all claims for invasion of privacy and libel.

This release shall insure to the benefit of the assigns, licensees and legal
representatives of the >> name of school << as well as the party(ies) for
whom photographs / negatives / videos / digital images were taken.

I represent that I am over the age of 18 and that I have read the foregoing
and fully and completely understand the contents hereof.

Name (Please Print)


Address


City State
Zip

Signature

Date

------------------------------------------------------------------------------
-------------------------------------
IF THE SUBJECT IS A MINOR,
THE PARENT WILL PLEASE COMPLETE THE FOLLOWING:

I, parent / guardian, of the above name-minor, do hereby consent to the
foregoing on his / her behalf and, further, agree not to sue and to hold the
>> name of school << from any and all claims and liability from my child /
ward arising out of the above activities.


Printed Name of Parent / Guardian
Status (Parent or Guardian)


Signature of Parent / Guardian
Address of Parent / Guardian


Date

City
/ State / Zip Code

Do not write below this line.
------------------------------------------------------------------------------
----------------------------------------
- FOR OFFICE USE ONLY -

Project Title: