Dennis Glennon Photography

MODEL RELEASE AND AUTHORIZATION TO PHOTOGRAPH

FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, I hereby grant the undersigned photographer, Dennis Glennon, the irrevocable right and permission, throughout the world, in connection with the photographs he has taken of my dog ______ , or in which the dog may be included with others, the following:

(a) the right to use and reuse, in any manner at all, said photographs, in whole or in part, modified or altered, either by themselves or in conjunction with other photographs, in any medium or form of distribution, and for any purposes whatsoever, including, without limitation, all promotional and advertising uses, and other trade purposes, as well as using my dog's name in connection therewith, if he so desires; and

(b) the right to copyright said photographs in his own name or in any other name that he may select. I waive the right to inspect or approve any use thereof.

I hereby forever release and discharge Dennis Glennon from any and all claims, actions and demands arising out of or in connection with the use of said photographs, including, without limitation, any and all claims for invasion of privacy and libel. This release shall inure to the benefit of the assigns, licensees and legal representatives of Dennis Glennon, as well as the party(ies) for whom he took said photographs.

Photographer: DENNIS GLENNON

Date: _______________

I represent that I am the owner or duly authorized representative of the model and that I have read the foregoing and fully and completely understand the contents hereof.

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(Dog Owner's Signature)

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(print both Model's and Dog Owner's Names)

Phone:__________________

Address:

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