Model Release Form


Model Release Form.  This form is required for all images where a person or persons are recognizable.

This Agreement is between Nature Photography Now, Kent A. LeFevre, the "Photographer." and
(Put in name or names of Model(s) here) _______________________________________


In consideration of the engagement as a model, and for other good and valuable consideration herein
acknowledged as received, I hereby grant to Photographer, his/her legal representatives, heirs and/or
assigns, those for whom Photographer is acting, and those acting with his/her authority and
permission (collectively “Photographer”), the absolute right and permission to copyright and use, reuse,
and publish, photographic portraits or pictures of me or in which I may be included, in whole or
in part, or composite or distorted in character or form, without restriction as to changes or
alterations from time to time, in conjunction with my own or a fictitious name, or reproductions
thereof in color or otherwise, made through any medium at his/her studios or elsewhere, and in any
and all media now or hereafter known, for art, advertising, trade or any other legal purpose. I also
consent to the use of any printed matter in conjunction therewith.
I hereby waive any right that I may have to inspect or approve the finished product or products or the
advertising copy or printed matter that may be used in connection therewith or the use to which it
may be applied.
I hereby release, discharge and agree to hold harmless Photographer from any and all liability that
has or may occur or be produced in the taking of said pictures or any subsequent process thereof, as
well as any publication thereof.
I acknowledge that I am at least 18 years old, and have the right and ability to consent to the terms
herein, and further, that I have am authorized and able to sign on behalf of all persons listed above as
I have read, understood, and agree to the terms of this Release.


Date: __________________________________________


Printed Name: __________________________________________


Signature: __________________________________________


Address: ____________________________________________________________________________




Phone Number: ____________________________________________________________________________________