Model Release / Permission for Photography/Videography

I grant to Cattaraugus County Dept. of Economic Development, Planning & Tourism (“Photographer & Videographer”) the absolute and irrevocable right and unrestricted permission concerning any photographs/videos that he/she has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs/videos in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if he/she so chooses.

I release and discharge Photographer & Videographer from any and all claims and demands that may arise out of or in connection with the use of the photographs/videos, including without limitation any and all claims for libel or violation of any right of publicity or privacy.

This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer & Videographer, as well as the person(s) for whom he/she took the photographs/videos.

I am a legally competent adult and have the right to contract in my own name.

I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.

Please enter the location and date of the photo/video shoot. Optional but helpful information
Model Name
Do you have a guardian or are you a minor?
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Use your mouse or finger to draw your signature above.