Model Release

For good and valuable consideration acknowledged as received, I grant the undersigned Worldly Visions LLC (PHOTOGRAPHER) and its assigns, licensees, and sublicensees, permission and the rights to use or publish any or all photographs or video with or without sound (MEDIA) captured or to be captured by an official Worldly Visions LLC photographer (PHOTOGRAPHER) that includes my likeness, which may be included in advertising, marketing, packaging, promotion, or endorsement of any service, company, product, cause, or purpose.

I agree that I hold no rights or license to the MEDIA and relinquish any and all rights of my likeness in the MEDIA to PHOTOGRAPHER.

I understand and agree that PHOTOGRAPHER and its assigns may use or sell the media that includes my likeness in whole or in part for any legal means. I understand and agree that PHOTOGRAPHER and its assigns may print, publish, record, create derivative works, edit, change, and alter any recorded media with my likeness.

I release and agree to save harmless PHOTOGRAPHER for any and all claims arising out of the use of the subject media, including such claims as libel, slander, or relating to the appropriation of my likeness or violation of my privacy.

I affirm that I am of the age of majority – or am a legal guardian or parent signing for a minor – and have all rights to contract in my name. I have read and understand this agreement in its entirety, and agree that this Release shall be binding upon my heirs and assigns.

Personal Information

I am over 18 years of age Yes No

Name of Model: First

Name of Model: Last

Initials of Model

These initials count as a signature.

Name of Parent or Legal Guardian: First

Name of Parent or Legal Guardian: Last

Initials of Parent or Legal Guardian

These initials count as a signature.

Never fear, we're only going to send you confirmation that you filled out this form!

Phone

We're also not planning on calling you, this is just in case there's a problem with your form and your email doesn't work. Do people still talk on phones?