Release Form for Models

I, ______________________________________do hereby give Elena Roché, their assigns, licensees, and legal representatives the irrevocable right to use my name (or any fictional name), picture, portrait, or photograph in all forms and media and in all manners, including composite or distorted representations, for advertising, trade, or any other lawful purposes, and I waive any right to inspect or approve the finished version(s), including written copy that may be created in connection therewith. I am of full age.* I have read this release and am fully familiar with its contents.

Witness___________________________________________________________________________ 

Model____________________________________________________________________________

Address___________________________________________________________________________ 

__________________________________________________________________________________

* Delete this sentence if the subject is a minor. The parent or guardian must then sign the consent

Model Release, Copyright © 2002 Warren and Elena Roché  All Rights Reserved