• Jeffrey J O'Connell Photography

    Model release form

  • PHOTOGRAPHER (hereinafter called 'the PHOTOGRAPHER ‘)

    NAME: Jeffrey J. O'Connell

    ADDRESS: Woodhaven, MI 48183

    PHONE: 734.818.5454

    WEBSITE: https://www.jeffreyjoconnell.com/



    PARENTS - PLEASE FILL THIS OUT AND SUBMIT FORM. Please read each question entirely and select whether you agree or do not agree.
  • The Client authorizes the Photographer to use and to create images for promotional materials, online usage, and other areas of marketability. The Client further authorizes the distribution of photographs to potential clients of the Photographer for portfolio purposes. The Client agrees and understands that the photos will be taken digitally.

    The Client further acknowledges that the Client will not be compensated, either now or at any time in the future, for any use of marketing and that the Photographer of such photos exclusively owns all rights.

    The Client acknowledges and agrees that the Photographer shall have the exclusive, perpetual, and irrevocable right to take, use, re-use, publish, and republish photographic materials which contain the Client’s image.

    The Client hereby acknowledges and agrees that the Photographer may modify, change, or alter such images without restriction.

    The Client hereby acknowledges and agrees that the photographs created by the Photographer shall become and remain the exclusive property of the Photographer, and that the Client retains no rights to said photographs unless specified particularly in this Release.

    The Client, also hereby waives all rights and claims and releases the Photographer from any claim or cause of action, whether now known or unknown, relating to the sale, display, license, use, and exploitation of the photos. The Client hereby covenants and agrees that the Client shall not bring any action or proceeding or maintain a complaint against the Photographer in any court of law, state or local, or before any administrative body, related in any way whatsoever, to the use of the photographs.

    The Client also consents to the use of the Client’s own name or any fictitious name, which may be chosen in connection with the aforesaid photographs. The Client hereby releases any and all claims whatsoever in connection with the use of the Client’s photographs and name and the reproduction thereof as aforesaid. The Client hereby waives any right that the Client may have to inspect and/or approve the photographs or any advertising copy that may be used in connection therewith or the use to which it may be applied.

    The Client also consents that the CLIENT and MODEL do not have any of the CDC guidelines symptoms of COVID-19. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:

    • Fever or chills
    • Cough
    • Shortness of breath or difficulty breathing
    • Fatigue
    • Muscle or body aches
    • Headache
    • New loss of taste or smell
    • Sore throat
    • Congestion or runny nose
    • Nausea or vomiting
    • Diarrhea
    • This list does not include all possible symptoms
    • Have not been in contact with anyone with Covid-19 in the past 2 (two) weeks


  • Client & Model Consent



  • Picture Package

  • Payment Method

  • CLIENT.... click below to submit form

  • Should be Empty: