MODEL RELEASE

By completing this form, I do hereby authorize Kat Ku Photography LLC and its assigns the irrevocable right to use my and my pets name (or any fictional name), picture, likeness, image, moving image, portrait, or photograph in all forms and in all media and in all manners, without any restriction as to changes or alterations (including but not limited to composite or distorted representation or derivative works made in any medium) for advertising, trade, promotion, exhibition, or any other lawful purposes, and I waive any right to inspect or approve the footage, images, photograph(s) or finished version(s) incorporating the footage, images, photograph(s), including written copy, dialogue, or voice over that may be created and appear in connection there with. I hereby release and agree to hold harmless Kat Ku Photography LLC, its assigns, licensees, successors in interest, legal representatives and heirs from any liability by virtue of any editing, blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of the footage, images, or photographs, or in any editing or processing tending toward the completion of the finished product, unless it can be shown that the footage, images, photographs and the publication, or broadcast thereof were maliciously caused, produced, broadcast or published solely for the purpose of subjecting me to conspicuous ridicule, scandal, reproach, scorn, and indignity. I agree that Kat Ku Photography LLC owns the copyright in these images, footage, photographs and I hereby waive any claims I may have based on the usage of the images, footage, photographs or works derived there from, including but not limited to claims for either performance rights, invasion of, privacy, personality rights or libel. I am of legal age and competent to sign this release. I agree that this release shall be binding on me, heirs, successors in interest, legal representatives and assigns. Should the details of this agreement be contested and result in arbitration or litigation, the prevailing party is entitled to recovery of all reasonable legal expenses.

I have read this release and am fully familiar with its contents (required):
Yes

First and Last Name

Email

Street Address

City

State

Zip

Phone Number

Pet's Name | Age/DOB | Type/Breed/Color of Pet

Pet's Name | Age/DOB | Type/Breed/Color of Pet

Pet's Name | Age/DOB | Type/Breed/Color of Pet

Pet's Name | Age/DOB | Type/Breed/Color of Pet

Pet's Name | Age/DOB | Type/Breed/Color of Pet

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