Model Consent and Release Form
Effective as of the date shown below, permission & approval for past, present, and future use of all images taken of me
___________ (the Photographed Party) is being granted to Lance Reis (The Photographer), and all who download
any images taken of me ____________ (the Photographed Party) by Lance Reis the photographer. This includes any
and all photos Lance has taken of me __________ that he has chosen to share on Unsplash, Pexels, and any other stock
photography website .
I the Photographed Party am an adult and am fully authorized to sign this Consent and Release.
For value received, the Photographed Party hereby grants consent to Lance Reis and his licensees, authorization to use
any and all photographs taken of the Photographed Party, and any reproduction of them in any form in any media
whatsoever and in any derivative work based thereon throughout the world, and to use them to publicize, promote and
advertise, including but not limited to use for point of sale advertising.
The photographer (who is the rites owner of all images taken of The Photographed Party both past, present, and
future), grants the permission and approval to the Photographed Party mentioned above to use any and all images
given to them by Lance for any reason they see fit. This includes social media promotion, publications, advertising, or
sales.
The Photographed Party also consents to the use of their own name or any fictitious name which may be chosen in
connection with the aforesaid photographs.
The Photographed Party hereby releases any and all claims whatsoever in connection with the use of their photograph
and name and the reproduction thereof as aforesaid.
The Photographed Party hereby waives any right that they may have to inspect and/or approve the photos or the
advertising copy that may be used in connection therewith or the use to which it may be applied.
THE PHOTOGRAPHED PARTY WARRANTS THAT THEY ARE THE UNDERSIGNED AND THAT THEY HAVE
READ THIS CONSENT AND RELEASE PRIOR TO THE
SIGNING OF THIS DOCUMENT. THAT THE UNDERSIGNED UNDERSTANDS THIS RELEASE. AND THAT
THE UNDERSIGNED FREELY ENTERS INTO THIS CONSENT AND
RELEASE.
Signed by you ___________________
With the intent of being legally bound on this Date: ______________
Signed by Lance Reis __________________
___________ (the Photographed Party) is being granted to Lance Reis (The Photographer), and all who download
any images taken of me ____________ (the Photographed Party) by Lance Reis the photographer. This includes any
and all photos Lance has taken of me __________ that he has chosen to share on Unsplash, Pexels, and any other stock
photography website .
I the Photographed Party am an adult and am fully authorized to sign this Consent and Release.
For value received, the Photographed Party hereby grants consent to Lance Reis and his licensees, authorization to use
any and all photographs taken of the Photographed Party, and any reproduction of them in any form in any media
whatsoever and in any derivative work based thereon throughout the world, and to use them to publicize, promote and
advertise, including but not limited to use for point of sale advertising.
The photographer (who is the rites owner of all images taken of The Photographed Party both past, present, and
future), grants the permission and approval to the Photographed Party mentioned above to use any and all images
given to them by Lance for any reason they see fit. This includes social media promotion, publications, advertising, or
sales.
The Photographed Party also consents to the use of their own name or any fictitious name which may be chosen in
connection with the aforesaid photographs.
The Photographed Party hereby releases any and all claims whatsoever in connection with the use of their photograph
and name and the reproduction thereof as aforesaid.
The Photographed Party hereby waives any right that they may have to inspect and/or approve the photos or the
advertising copy that may be used in connection therewith or the use to which it may be applied.
THE PHOTOGRAPHED PARTY WARRANTS THAT THEY ARE THE UNDERSIGNED AND THAT THEY HAVE
READ THIS CONSENT AND RELEASE PRIOR TO THE
SIGNING OF THIS DOCUMENT. THAT THE UNDERSIGNED UNDERSTANDS THIS RELEASE. AND THAT
THE UNDERSIGNED FREELY ENTERS INTO THIS CONSENT AND
RELEASE.
Signed by you ___________________
With the intent of being legally bound on this Date: ______________
Signed by Lance Reis __________________