MODEL  RELEASE:  MINOR

	I,  (Please Print)______________________________________ 
("MODEL"), and the undersigned parent of the Model, for good and
valuable consideration, the receipt of which is acknowledged, give
to XYZ Video ("PRODUCER"), its legal representatives, successors,
and all persons or corporations acting with its permission, unre-
stricted permission to copyright and/or use, and/or publish photo-
graphic portraits or pictures of the Model, and the negatives, 
transparencies, prints, or digital information pertaining to them, 
in still, single, multiple, moving or video format, or in which 
the Model may be included in whole or in part, or composite, or 
distorted in form, or reproductions thereof, in color or otherwise, 
made through any media in photographer's studio or elsewhere for 
art, or any other lawful purpose.  

       We hereby waive any right that I may have to inspect and 
approve the finished product or copy that may be used in connection 
with an image that the Photographer has taken of the Model, or the 
use to which it may be applied.

       We further release PRODUCER, or others for whom PRODUCER is 
acting, from any claims for remuneration associated with any form 
of damage, foreseen or unforeseen, associated with the proper 
commercial or artistic use of these images unless it can be shown 
that said reproduction was maliciously caused, produced and pub-
lished for the sole purpose of subjecting the Model to conspicuous
ridicule, scandal, reproach, scorn and indignity.

       We acknowledge that the videotaping/photography session was
conducted in a completely proper and highly professional manner, 
and this release was willingly signed at its termination.  We 
acknowledge that the Model is a minor, and certify that we have 
given our consents freely.


_______________________________________       ____________________
Model's signature                              Date

________________________________________      ____________________                        
Home address                                   Home telephone number
                                               

_________________________________________
Parent's name (Please Print):      
                                              ____________________
                                              (Witness)

_________________________________________
(Parent's signature)

This form will be retained with the videotapes, negatives, trans-
parencies, and/or contact sheets.

 
						
