Photography Release by Model and Authorization to Photograph

Release by Model and Authorization to Photograph Release executed on ________________ (date), by ________________________ of ____________________________________________ (street address, city, county, state, zip code), in favor of _______, Inc., a corporation organized and existing under the laws of the state of ______________, with its principal office located at _______________________________ (street address, city, county, state, zip code), referred to herein as Company. The undersigned ______________________ consents to being the subject of the photographs of Company and authorizes Company to cause the same to be exhibited, with or without advertising sponsorship, as still photographs, transparencies, motion pictures, television, video or other similar media.