NAME

First Name

Last Name

PHOTO SESSION DATE

YYYY

PHOTO SESSION LOCATION

WHATSAPP NUMBER

(###)

###

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Check the following you agree with:

I hereby assign full copyright of these photographs to Chiara Mecozzi together with the right of use for her ﬁne art photography, artworks, and references for artworks (collages)

I grant Chiara Mecozzi, the Artist and Photographer, the permission to use the above-mentioned photographs for her PODEROSA Empowerment project and future projects.

I grant Chiara Mecozzi permission to use the above mentioned photographs for marketing use, social media, website, newsletters, etc… (a big part of the work is not only finding the strength to share our photos, but also to inspire other women to liberate and love themselves just as we did. The photos I post on social media are motivators and inspiration for so many women out there that are still living in shame and listening to their limiting beliefs)

I don’t want my face to show in photographs used for marketing, social media, etc… my body is okay.

Provided my name is not mentioned in connection with any other statement or wording which may be attributed to me personally, I undertake not to Prosecute or to institute proceedings, claims or demands against either the Photographer or his or her agents in respect of any usage of the above mentioned photographs. I hereby release the photographer named above from all claims and liability relating to images, or photographs taken of me.

I have read this model release form carefully and fully understand its meanings and implications.

DATE

YYYY

ADDITIONAL COMMENTS:

MODEL RELEASE FORM