Model Release Form

I hereby authorize Liz Diaz Photography to publish photographs taken of me and my name and likeness, for use in Liz Diaz Photography’s print, online, and video based marketing materials as well as other publications. I hereby release and hold harmless Liz Diaz Photography from any reasonable expectation of privacy or confidentiality for myself and/or any minor child and/or children listed below associated with the images specified above. I further acknowledge that participation is voluntary and that neither I and/or the minor child or children will receive financial compensation of any type associated with the taking or publication of these photographs or participation in Liz Diaz Photography marketing materials or other publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. I know that Liz Diaz Photography will be working with various local boutiques and online businesses who will use these images for marketing purposes as well, and I thereby release Liz Diaz Photography and any third parties involved in the creation or publication of marketing materials, from liability for any claims by me or any third party in connection with my participation and/or the minor children listed above and below. By checking the "I agree" box below, I am stating that I agree with everything written above.
Date *
Senior's Name *
Senior's Name
Parent's Name
Parent's Name
Required if senior is under 18 years old.