Model Release

For and in consideration of my engagement as a model by Harold Stanfield dba Ultimate Imaging Photography, hereafter referred to as the photographer, on terms or fee hereinafter stated, I hereby give the photographer, his legal representative and assigns, those for whom the photographer is acting, and those acting with his permission, or his employees, the right and permission to copyright and/or use, reuse and/or publish, and republish photographic images or portraits of me, or in which I may be distorted in character, or form, in conjunction with my own or a fictitious name, on reproductions thereof in color, or black and white made through any media the photographer at his studio or elsewhere, for any purpose whatsoever: including the use of any printed matter in conjunction therewith. 

I authorize Photographer to use the images for purposes related to the promotion of the Photographer's business, but do not authorize Photographer to sell publication rights in any or all of the images except with my prior consent.

I hereby waive any right to inspect or approve the finished photograph or advertising copy or printed matter that may be used in conjunction therewith or to the eventual use that it might be applied. 

I agree that, while I may use the images for purposes related to the promotion of my Modeling business, including but not limited to advertising, portfolios, composite cards, exhibitions, contests, and promotional internet web sites, I will not sell publication rights in any or all of the images without Photographer's prior consent. 

I hereby release, discharge and agree to save harmless the photographer, his representatives, assigns, employees or any person or persons, corporations or corporations, acting under his permission or authority, or any person, persons, corporation or corporations, for whom he might be acting, including any firm publishing and/or distributing the finished product, in whole or in part, form and against any liability as a result of any distortion, blurring, or alteration, optical illusion, or use in composite form, either intentionally or otherwise, that may occur or be produced in the taking, processing or reproduction of the finished product, its publication or distribution of the same, even should the same subject me to ridicule, scandal, reproach, scorn or indignity.

I hereby warrant that I am at least Eighteen (18) years of age, and competent to contract in my own name insofar as the above is concerned. 

I have read the forgoing release, authorization and agreement, before affixing my signature below, and warrant that I fully understand the contents thereof.

Real Name:									Date: 

Signature:

Professional Name: 

ID# / Driver License # : 

Notes:      

I am to be compensated as follows: One Full set of DIGITAL images on a High Resolution CD and /or Full set of contact sheets for hand processed FILM images.