Indianapolis Family Photographer | casey and her camera

casey and her camera | Minor Model Release

Minor(s) Full Names (“Minor(s)”):    




Parent/Guardian’s Full Name: 

Parent/Guardian’s Address:   

I, the above-identified individual ("Client(s)"), have chosen to allow the above-identified Minor(s) to participate as a model in a photography shoot (the “Shoot”) by casey and her camera LLC d/b/a casey and her camera (“Photographer”), an Indiana limited liability company (“Photographer”) on the date of Client(s) execution of this Release as indicated in the electronic signature block of this Agreement (the “Effective Date”).

The Client gives the Photographer permission to photograph with respect the minor described herin. The Client warrants that they are the parent or legal guardian of the minor and have full right and authority to grant this consent on behalf of such minor.

The Client authorizes the Photographer to use and to create images for promotional materials, online usage, and other areas of marketability including, but not limited to digital or print magazine publications.  The Client further authorizes the distribution of photographs to potential clients of the Photographer for portfolio purposes.  The Client agrees and understands that the photos will be taken digitally.

The Client further acknowledges that the Client will not be compensated, either now or at any time in the future, for any use of marketing and that the Photographer of such photos exclusively owns all rights. 

The Client acknowledges and agrees that the Photographer shall have the exclusive, perpetual, and irrevocable right to take, use, re-use, publish, and republish photographic materials which contain the minor’s image.

The Client hereby acknowledges and agrees that the Photographer may modify, change, or alter such images without restriction.

The Client hereby acknowledges and agrees that the photographs created by the Photographer shall become and remain the exclusive property of the Photographer, and that the Client retains no rights to said photographs unless specified particularly in this Release.

The Client also hereby waives all rights and claims and releases the Photographer from any claim or cause of action, whether now known or unknown, relating to the sale, display, license, use, and exploitation of the photos. The Client hereby covenants and agrees that the Client shall not bring any action or proceeding or maintain a complaint against the Photographer in any court of law, state or local, or before any administrative body, related in any way whatsoever, to the use of the photographs.

The Client also consents to the use of the minor’s own name or any fictitious name which may be chosen in connection with the aforesaid photographs. The Client hereby releases any and all claims whatsoever in connection with the use of the minor’s photographs and name and the reproduction thereof as aforesaid. The Client hereby waives any right that the Client may have to inspect and/or approve the photographs or any advertising copy that may be used in connection therewith or the use to which it may be applied.

The Client hereby acknowledges and agrees they are at least 18 years of age and have the right and ability to consent to the terms herin. The Client hereby acknowledges and agrees they are authorized and able to sign on behalf of all persons listed below as ‘Models’ or other guests that may be present. The Client’s guests at the photographic event shall be deemed to have consented the terms of this Release and the Client shall hold harmless and defend the Photographer from and against any claims asserted against the Photographer by the Client’s guests.

IN WITNESS WHEREOF, the parties hereto have caused this Release to be executed by their duly authorized representatives as of the date(s) set forth below, via electronic signature.

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Signed by Casey Rucinski
Signed On: January 23, 2017

Signature Certificate
Document name: casey and her camera | Minor Model Release
lock iconUnique Document ID: 7784e7913729dcb0b6a4882e909809e0f34905bc
Timestamp Audit
2016-08-11 14:14:00 EDTcasey and her camera | Minor Model Release Uploaded by casey and her camera Rucinski - IP


casey and her camera is an Indianapolis Photographer specializing in couple, lifestyle, senior, wedding and family photography for Indianapolis, Indiana and the surrounding areas.