Minor Model Release

Photographer Information:

Fringe Photography

Noblesville, IN 46060

(317) 565-7337


Parent Information:

Name *
Address *
Phone *
This Release is between the model’s parent and/or legal guardian, whose name and address is listed, and FRINGE PHOTOGRAPHY. The Client gives the Photographer permission with respect to photograph the minor described herein. 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. The Client further authorizes the distribution of photographs to potential clients of the Photographer for portfolio purposes. 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, with the exception of negative or pornographic representation. 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. *
Name of Minor *
Name of Minor
Date *
Digital Signature of Parent or Legal Guardian *
Digital Signature of Parent or Legal Guardian