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H4Photo - Minor Model Release


Please read this contact in full.  When finished, you can signify your agreement by entering your details below.
For good and valuable consideration, the receipt and legal sufficiency of which is hereby acknowledged, I (parent/guardian of
model named below) hereby grant to H4Photo (the “Photographer”), the Photographer’s assigns, and those persons acting with
the Photographer’s authority and permission, the right to take and create photographs and other still images, (in all formats)
and other graphical depictions incorporating the model's likeness, in any and all media, whether now known or hereafter created (the “Content”).

I hereby agree that all rights in and to the Content, including the copyright, are and shall remain the sole property of the Photographer, free and clear from any claims by me or anyone acting on my behalf.

The Photographer’s rights include, but are not limited to, the rights, in perpetuity, to: Use, re-use, publish, and re-publish the Content; Alter, modify or otherwise change the Content in any manner the Photographer desires; Combine the Content with textual matter and/or with other pictures and/or media; and, Use the Content for illustration, promotion, art, editorial, advertising, trade, publishing, or any other purpose whatsoever.

I hereby release, discharge, and agree to hold harmless the Photographer, the Photographer’s heirs, legal representatives and assigns, and all persons acting under the Photographer’s authority or those for whom he/ she is acting, from any liability by virtue of any use of the Content or any changes or alterations made thereto.

I warrant and represent that I am the father/mother/guardian of the Model below named. I have read the above authorization, release and agreement, prior to its execution, and I am fully familiar with the contents thereof.

This release shall be binding upon me and my heirs, legal representatives and assigns.
Parent/Guardian Name:
Email Address:
Phone Number:
Home Address:
Model's Full Name:
Model's date of birth:
Model's Ethnicity (optional):

Date of Photo shoot:

Photographer Information:


Jill Stevenson

Address: Avon 9, Wallops Wood, Sheardley Lane, Droxford, SO32 3QY

Phone: 01962 676103

email: info@h4photo.co.uk

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