In consideration of my engagement as a model, upon the terms herewith stated,
I _____________________________ (MODEL) hereby give to (photographer’s name/surname)
) and his heirs, legal representatives and assigns, and those acting with his
authority and permission:
a) the unrestricted right and permission to copyright and use, re-use, publish, and republish
photographic portraits or pictures of me or in which I may be included intact or in part, composite
or distorted in character or form, without restriction as to changes or transformations in conjunction
with my own or a fictitious name, or reproduction hereof in color or otherwise, made through any
and all media now or hereafter known for illustration, art, promotion, advertising, trade, or any
other lawful purpose whatsoever.
b) I also permit the use of any printed material in connection therewith.
c) I hereby relinquish any right that I may have to examine or approve the completed product or
products or the adve