MODEL RELEASE Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone number * (###) ### #### MODEL RELEASE: * Please check one. This gives me the right to share your images on my blog or instagram. Thank you! I hereby grant Leah Zawadzki [photographer], the absolute and irrevocable right and unrestricted permission concerning any photographs that she has taken or may take of those listed in this contract [minor and adult], to use and publish 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, illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration. I release and discharge Leah Zawadzki 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 insure to the benefit of the heirs, legal representatives, licensees, and assigns of Leah Zawadzki, as well as the person(s) for whom she took the photographs. I do not grant permission to Leah Zawadzki rights to publish photographs online. Names of participating adults. * Names of participating minor children. * Additional notes. ELECTRONIC SIGNATURE * If the senior is over 18, he/she must sign. If children under 18, parent must sign. Thank you! First Name Last Name Date * MM DD YYYY Please pay your session fee to confirm your booking. Thank you!