NAME: 

ADDRESS: 

CITY:   STATE: ZIP:

AGE: EMAIL: 

What options:  (Please apply one or more)

Artistic  Casual  Fashion   Glamour  Headshot  Lingerie Sport  Swimwear Architecture  Nature  Wildlife Family Pet

Other:

Available Dates to shoot:  (Give me at least four possible dates and contact you to deal on which is the best time)

Pick one of those options to shoot: (film or digital exposures)

24 exposures for $25.00

48 exposures for $40.00

72 exposures for $75.00

96 exposures for $100.00

Model Release:

FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, I hereby grant the undersigned photographer Donald R. Stewart the irrevocable right and permission, throughout the world, in connection with the photographs he has taken of me, or in which I may be included with others, the following: (a) the right to use and reuse, in any manner at all, said photographs, in whole or in part, modified or altered, either by themselves or in conjunction with other photographs, in any medium or form of distribution, and for any purposes whatsoever, including, without limitation, all promotional and advertising uses, and other trade purposes, as well as using my name in connection therewith, if he so desires; and (b) the right to copyright said photographs in his own name or in any other name that he may select. I waive the right to inspect or approve any use thereof.

I hereby forever release and discharge Photographer from any and all claims, actions and demands arising out of or in connection with the use of said photographs, including, without limitation, any and all claims for invasion of privacy and libel. This release shall inure to the benefit of the assigns, licensees and legal representatives of Photographer, as well as the party(ies) for whom he took said photographs.

I,  represent that I am over the age of eighteen years and that I have read the foregoing and fully and completely understand the contents hereof.