I, _______________________________, parent of the Model, 
for good and valuable consideration, the receipt of which is acknowledged, 
give to _____________________(Photographer), his legal representatives,
successors, and all persons or corporations acting with his
permission, unrestricted permission to copyright and/or use, and/or
publish photographic portraits or pictures of the Model, and the
negatives, transparencies, prints, or digital information
pertaining to them, in still, single, multiple, moving or video
format, or in which the Model may be included in whole or in part,
or composite, or distorted in form, or reproductions thereof, in
color or otherwise, made through any media in photographer's studio
or elsewhere for art, or any other lawful purpose.  

       We hereby waive any right that I may have to inspect and
approve the finished product or copy that may be used in connection
with an image that the Photographer has taken of the Model, or the
use to which it may be applied.

       We further release the Photographer, or others for whom he is
acting, from any claims for remuneration associated with any form
of damage, foreseen or unforseen, associated with the proper
commercial or artistic use of these images unless it can be shown
that said reproduction was maliciously caused, produced and
published for the sole purpose of subjecting the Model to
conspicuous ridicule, scandal, reproach, scorn and indignity.

       We acknowledge that the photography session was conducted in
a completely proper and highly professional manner, and this
release was willingly signed at its termination.  We acknowledge
that the Model is a minor, and certify that we have given our
consents freely.


Model's Name (Please Print):___________________________________

Parent's Name (Please Print):__________________________________

Parent's Signature:___________________________________________

Parent's Phone Number:_______________________________________
                                               
Witness Name (Please Print):___________________________________

Witness Signature:___________________________________________