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Authorization To Photograph Release By Subject
1. Release made by [name and address of the party to be photographed] in favor of [name and address of the photographer] this [Date].
2. Consideration. This Release is being executed by Releasor for the sum of [$------] paid by Releasee to Releasor, receipt of which is acknowledged.
3. Subject Matter of Release. The photographer is granted by this Release the right to photograph Releasor, as well as to display, exhibit, [other means, e.g., video rights] those photographs.
4. Release Binding. [Name] (Releasor) releases [Name] (Releasee) from any future claims for libel, slander, or any other claim by Releasor against Releasee or Releasee's successors or assigns.
5. Neither Releasor and Releasee have made any representations nor promises, other than those contained in this release or in some further writing signed by the party making the representation or promise.
IN WITNESS WHEREOF, Releasor has set Releasor's hand this [Date].
This Section for Notary:
STATE OF -------)
) ss: [date]
COUNTY OF ------)
On [Date] before me, [Name of Notary], notary, personally appeared [Name of Person(s) Involved], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
Witness my hand and official seal.
[Name of Notary Public]
My commission expires: [date]