Firebug Photography by Susan Wolfe

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.