m o d e l r e l e a s e
date:_______________________
for good and valuable consideration herein acknowledged as received, i hereby consent to and authorize abraham menashe, his publishers, licensees and assigns, permission to use and reproduce photographs taken of me (and/or photos taken of my child) in whole or in part, for editorial, trade, or advertising purposes, including the promotion thereof.
i also confirm that I waive all claims arising from such use for compensation, damages, and invasion of privacy.
your signature: _________________________________________
your name (print): ______________________________________
street address: __________________________________________
city: _____________________________ state: ________________
zip: ___________
telephone: (_____)_______________________________________
children's names (if photographed): ________________________