Model Release

Full Name

Email Address

Phone Number

Client authorizes the Photographer, and/or any assignees and licensees, to use and to create images, and any reproduction of them in any form in any media whatsoever, for promotional materials, online marketing, portfolio, and other areas of marketability. Client also consents to the use of the Client’s own name or any fictitious name, which may be chosen in connection with the aforesaid photographs.

Yes, I agree

Client acknowledges that the Client will not be compensated, either now or at any time in the future, for any use of marketing and that the Photographer of such photos exclusively owns all rights. Client acknowledges and agrees that the Photographer may modify, change, or alter such images without restriction, unless outlined specifically in this Agreement.

Yes, I agree

Client acknowledges and agrees that the photographs created by the Photographer will become and remain the exclusive property of the Photographer, and that the Client retains no rights to said photographs unless specified particularly in this Release. Client waives all rights and claims and releases the Photographer from any claim or cause of action, whether now known or unknown, relating to the sale, display, license, use, and exploitation of the photos.

Yes, I agree

Client gives permission for all images from the session to be used in the following ways: • Printed promotional materials • Printed portfolio samples • Online use (including but not limited to social media accounts, website and blog display) Other areas of marketability by the Photographer

Yes, I agree

Client acknowledges and affirms that no pre-existing agreements of any sort exist between themselves and any other entity which may prevent or restrict Photographer from using their likeness in any manner.

Yes, I agree

COVID-19 Waiver - The World Health Organization has declared the novel Coronavirus (COVID-19) a worldwide pandemic. Due to its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions which Kim Belverud Photography, LLC adheres to comply. Client is fully and personally responsible for his/her own safety and actions, and those of his/her accompanying party, while and during the photo shoot and recognizes the risk of contracting COVID-19. With full knowledge of the risks involved, Client hereby releases, waives, discharges Photographer from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by Client and accompanying party related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19. Client agrees to indemnify, defend, and hold harmless Photographer from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19.

Yes, I agree

Date

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MODEL RELEASE

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