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20809 NE 15th Street
Sammamish, WA, 98074
United States

(425) 283-6072

Firebug Photography by Susan Hense Wolfe provides artistic photographic services. Creating comfortable sessions that allow your true personality to shine and be captured. Located in the Greater Seattle area.

Model Release

Model Release Form

I, [the "Model”] for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, give Firebug Photography [the “Company”] permission to record my image(s) [the "image(s)"]. I grant the Company all permissions and irrevocable and unrestricted rights to use and publish the Image(s) in all forms and media and in all manners, including composite or distorted representations, for advertising, promotions, or any other lawful purposes at the Company’s sole discretion. I waive the right to inspect or approve the finished product, including written copy, that may be created in connection therewith. I fully and completely release the Company from all claims for remuneration or any other compensation claims. I agree that all rights to the Images(s) belong to the Company. I am of full age and I have read this release and am fully familiar with its contents. 

Date
Date
Model #1 Name *
Model #1 Name
Model #2 Name
Model #2 Name
Model #3 Name
Model #3 Name
Guardian Name *
Guardian Name
I am the parent and guardian of the minor named above and have the legal authority to execute the above release. I approve the foregoing and waive any rights to the premises.
Address
Address
Phone
Phone