(404) 451 Ė 9617

www.arielharper.com

ariel@arielharper.com

Permission for Photography

For valuable consideration received, I grant to Ariel Harper ("Photographer") the absolute and irrevocable right and unrestricted permission concerning any photographs that she has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if she so chooses.

I release and discharge the Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for whom she took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.††††††††††††

 †††††††††††††

 †††††††††††††

MODEL NAME:†† _______________________________________________________________________

MODELíS EMAIL ADDRESS:††† _____________________________________________________________

MODELíS MOBILE NUMBER: _____________________________________________________________

IN CONSIDERATION OF HAVING RECEIVED (i.e. Photos/Compensation/etc.)_______________________

IN RETURN FOR POSING FOR PHOTOGRAPHS TAKEN ON (date):_________________________________

AT (location):††† ________________________________________________________________________

MODELís SIGNATURE AND DATE:†† _________________________________________________________

*If the Model is under 18 year of age, a parent or legal guardian must also sign

PARENT/GUARDIAN SIGNATURE AND DATE: _________________________________________________††