Indianapolis Family Photographer | casey and her camera

casey and her camera | Photography Minor Model Release

Minor(s) Full Names (“Minor(s)”):    




Parent/Guardian’s Full Name: 

Parent/Guardian’s Address:   

I, the above-identified individual, 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”). For good and valuable consideration, which is hereby acknowledged, I expressly grant Photographer an irrevocable, royalty-free, sublicenseable, exclusive, worldwide right and license in perpetuity to take, publish, republish, use (or license the use of) each Minor’s likeness, image, name and related rights of publicity (the “Rights of Publicity”) in connection with the use and publication of any photographic images taken at the Shoot (collectively, the “Images”), as well as in connection with any other purpose including but not limited to advertising and other promotional materials, including but not limited to commercials, websites, online advertisements, brochures, digital and print magazine publications, portfolios, and other promotional items utilized by Photographer or its licensees that contain the Images.  

I acknowledge that I have received valuable consideration for the rights included herein, including but not limited to a photography session and photography package featuring Minor(s). I further acknowledge that neither I nor Minor(s) shall receive any additional compensation, either now or at any time in the future, for any use of the Images by Photographer or any of its licensees. 

I hereby acknowledge and agree that the Images created or captured by Photographer during the Shoot shall become and remain the exclusive property of Photographer, and that Minor(s) retain(s) no rights in or to said Images unless specified particularly in this Release. Further, I acknowledge and agree that Photographer shall be the exclusive owner of any and all copyrights in and to the Images. I acknowledge and agree that the Images may be edited, without restriction, in Photographer’s sole discretion and that Photographer shall have the sole discretion for determining whether each Minor is identified by name or otherwise given credit for appearing in any materials created and utilized by Photographer or any of its licensees. I also waive any right to inspect or approve the finished materials featuring the Images.

I expressly and irrevocably release Photographer and its licensees, partner companies, agents, officers, owners, employees, designees and assigns, from and against any and all claims which Minor(s) and/or I now have or may have in the future for invasion of privacy, defamation, misappropriation of likeness, or any other cause of action arising out of or relating to the Shoot and/or Photographer’s use of each Minor’s Rights of Publicity as permitted by this Release. I also hereby waive all rights and claims and release Photographer from any claim or cause of action, whether now known or unknown, relating to the sale, display, license, use, and exploitation of the Images or each Minor’s Rights of Publicity. I hereby covenant and agree that neither Minor(s) nor I shall bring any action or proceeding or maintain a complaint against Photographer in any court of law, state or local, or before any administrative body, related in any way whatsoever, to the use of the Images or each Minor’s Rights of Publicity.

I hereby warrant, acknowledge and agree that I am at least 18 years of age and that I am the parent or legal guardian of Minor(s) and have the right and ability to consent to the terms herein. In the event of any dispute under this Release, the laws of the State of Indiana shall govern the validity, performance, enforcement, interpretation and any other aspect of this Release, without regard to principles of conflicts of laws thereunder. I agree to submit to the exclusive jurisdiction and venue of the courts of Marion County, Indiana, for any action arising out of this Release.

Photographer may freely assign and sublicense the rights granted to it in this Release.

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: October 20, 2016

Signature Certificate
Document name: casey and her camera | Photography Minor Model Release
lock iconUnique Document ID: 93733fe5f4a59c7f57e0d27eafd3e0682d0dfc97
Timestamp Audit
2016-06-02 10:44:05 EDTcasey and her camera | Photography Minor Model Release Uploaded by Casey 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.