I hereby grant to (artist’s name here), his/her legal representatives and assigns, those for whom (artist’s name
here) is acting, and those acting with her authority and permission, the absolute right and permission to copyright,
in her own name or otherwise, and use, re-use, publish, and re-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, in conjunction with my own or fictitious name, or reproductions thereof in color or
otherwise, made through any medium at her studio or elsewhere, and in any and all media now or hereafter known
for illustration, promotion, art, advertising, trade, or any purpose whatsoever.  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 and the advertising
copy or other matter that may be used in connection therewith or the use to which it may be applied.

I hereby release discharge and agree to save harmless (artist’s name here), his/her legal representatives and
assigns, and all persons acting under the permission or authority or those for whom she is acting, from any liability
by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or
otherwise, that may occur or be produced in the taking of said picture or in any subsequent processing thereof, as
well as any publication including without limitation any claims for libel or invasion of privacy.

I hereby warrant that I am of full age and have the right to contract in my own name.  I have read the above
authorization, release and agreement, prior to its execution, and am fully familiar with the contents thereof.  This
release shall be binding upon me and my heirs, legal representatives.

Date:  _________________  Name:  ________________________________

Witness:  _________________________________
                                                 PROPERTY RELEASE FORM

I, the undersigned, being the legal owner of, or having full legal rights to permit use, commercial or otherwise, of
property designated at or recognized as:


Hereby grant the undersigned photographer his/her permission, in connection with the photographs he/she has
taken of the property described above, use of the resulting image(s) with or without modifications or alterations,
for any of the following:  (a) the right to use and reuse and publish said photographs including promotional and
advertising uses, commercial or non-commercial display;  and (b) the right to copyright said photographs in
his/her own name or pseudonym.  

I agree that the photographs, reproductions, and negatives thereof shall be the sole property of the artist, and
that the artist retains the right to dispose of said images in any manner.  I release the artist and his/her
representatives from any and all claims, action and demands arising from the use of said images, including
invasion of privacy and libel.

I acknowledge that this release was signed by me willingly, and that I am not a minor, and am free and able to
give such consent.  If the undersigned is signing as an agent or employee, the undersigned warrants that
he/she has full authorization to do so.

Name: _________________________________________________________________________________

Address: _________________________________________ Date: ________________________________

Phone: ____________________________ E-Mail: _____________________________________________

Photographer/Artist’s Name: _______________________________________________________________

Photographer/Artist’s Signature: ____________________________________________________________

Witness: ______________________________________________________________________________

Date: _________________________________________________________________________________