Model, Property, Animal Release for Lisa Loucks Christenson

 

 

 Model, Property, Animal Release:

 

For valuable consideration received, I herby grant to Lisa Loucks-Christenson, Lisa Loucks-Christenson's publishers, her legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs me and/or family members, my animal, my property, and of any photos of me or my family that I/they may be included, for editorial, trade, advertising and any other commercial purpose and in any manner and medium; to alter the same without restriction; and to copyright the same. I hereby release the studio, the Photographer and her legal representatives and assigns from all claims and liability relating to said photographs.

 

Name_________________________Date____________

 

Signature_____________________

 

Tel.(___)____-______

 

E-Mail______________@___________

 

Address_______________________________

 

City_____________ ST______ Zip_____________

 

If Minor, Signature of Parent/Guardian________________________

 

Witness________________________________

 

Office:

Date of Shoot:___________________________

Photo Project:___________________________

Exchange________________________________

Lisa Loucks-Christenson Studios (SM), P.O. Box 9177, Rochester, MN 55903