POCKET RELEASE
For valuable consideration received, I hereby grant to__________________ ("Photographer") and his/her legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs of me, or in which I may be included, for editorial, trade, advertising and any other purpose and in any manner and medium; to alter the same without restriction; and to copyright the same. I hereby release Photographer and his/her legal representatives and assigns from all claims and liability relating to said photographs.
Name (Print)_____________________________________________________________________ Date___________________
Signature_________________________________________________________________ Phone________________________
Address________________________________________________________________________________________________
City_____________________________________________________________ State____________ Zip___________________
If Minor, Signature of Parent/Guardian_________________________________________________________________________
Witness________________________________________________________________________________________________