Date:
To:
Gentleman:
I grant to you, and your assigns, the right to use and publish my photograph or
likeness in catalogues, publicity, advertising, or for any other purpose. I desire to see
that use and publication. I make this grant on the understanding that you will rely on it,
and I waive and release you from all claims I may have on account of your use of this
grant.
If I am a minor, this grant and release shall not be valid unless parent or guardian
shall execute the agreement below.
Very truly yours,
Name: ___________________________
Address: _________________________
I am a parent/guardian of the above minor, and also desire to see the above use
and publication and understand that you will rely on the above grant and my agreement,
I hereby agree that such minor and I will be bound by all the above terms.
Name: ___________________________
Address: _________________________
Note: Should you use this Model Release have it checked by your lawyer to verify that it
will provide you the protection you require.