BCHP Model Release

Barb Hogan Contemporary Photography

Model Release

Client Name*

First NameLast Name

Parent Name (if client is under 18)

First NameLast Name

Contact Number*

Area CodePhone Number

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Model Release

The client grants Barb Hogan Contemporary Photography and its legal representatives the irrevocable and unrestricted right to use any or all photographs from the photography session for editorial, trade, advertising, or any other purpose and in any manner or medium; to alter the same without restriction; and to copyright the same.

In other words, in exchange for consideration received, I hereby give permission to Barbara A. Hogan to use my name and photographic likeness in all forms and media for advertising, trade, and any other lawful purposes.

I agree to the model release*

YesNo

Please explain checking NO.*

Please use your mouse to sign below.

Parent Signature If Client is Under 18*

Client Signature*

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