Model Release Form

Royal Divas Magazine Model Release Form

I,

Models Full Name*

First NameLast Name

Are you over 18 years of age?*

YesNo

Are you Booking a Photo Shoot Also?

YesNoContact me

hereby grant

Photographer Name*

, his/her legal representatives and assigns (including but not limited to any agency, client, or publication), irrevocable permission to publish photographs of me taken at:

Location

These images may be published in any manner, including (but not limited to) calendars, advertisements, periodicals, and greeting cards. These images have not and will not be submitted to any other publication or online venue for display unless released by Royal Divas Magazines. Furthermore, I will hold harmless the aforementioned photographer and his/her legal representatives and assigns, from any liability by virtue of minor cropping that may be required, and color and exposure shifts that may occur in reproducing this photograph. Any and all photographs that we shoot or that’s submitted to us for Publishing, Royal Divas Magazine will (OWN) that Image, and will have all rights to that Image(s)

I affirm that I am 18 years of age or older, and competent to sign this release on my own behalf. I have read this release and fully understand its implications.

Models Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Phone Number*

Area CodePhone Number

Model or Person Authorized to Sign for Model*

Printed Name*

Date of Signature*

MonthDayYear

Witness Signature*

I am the parent or legal guardians of the minor above named, and have legal authority to execute this release on his/her behalf. I have read and fully understood the contents of this release, and consent to the use of said photograph based on the contents of this release.

I affirm that I am 18 years of age or older, and competent to sign this release on behalf of the minor child indicated above. I have read this release and fully understand its implications.

Parent / Legal Guardian*

Printed Name

Date

MonthDayYear

Parent / Guardian Witness Signature*

Printed Name

Date

MonthDayYear

Photo Shoots

1 Look - No Makeup$125.00

2 Looks - w/Makeup$350.00

3 Looks - w/Makeup$475.00

Total $0.00