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