Camera Hacker

In exchange for consideration received, I hereby give permission to ____________________________________________________ to use my name and photographic likeness in all forms and media for advertising, trade, and any other lawful purposes.

Print Name: ___________________________________________________

Signature: ___________________________________________________

Date: ___________________________________________________

If model is under 18:

I, __________________________________________________, am the parent/legal guardian of the individual named above, I have read this release and approve of its terms.

Print Name: ___________________________________________________

Signature: ___________________________________________________

Date: ___________________________________________________