EmailMe Form - Model Release

Model Release
Herein acknowledged as received, and by signing this release I hereby consent that my name and the photographs taken and presented by Jennifer Eliason Photography may be used by Jennifer Eliason for the purpose of display, portfolio, advertising, website, licensing the images or any publication to promote her studio or name. I also agree that the images can be used without additional compensation to the undersigned. I am of full age and have the right to contract in my own name. I have read this model release and fully understand the contents thereof. This release shall be binding upon me and my heirs, legal representatives, and assigns.

I have legal authority to grant these permissions and I accept all responsibility for such.

Name

First

Last

Email

Phone Number

###

####

Address

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Signature

Date

YYYY

I agree to the terms of this portrait agreement and by typing my name and checking this box, this serves as my electronic signature.

EMF HTML Form
Report Abuse