Model Release

Model Release

Model Release

Focus Mid-South and Focus Magazine LGBT Publication and Website


I hereby grant Focus Mid-South magazine and (an LGBT-centric magazine and website) permission to use any or all information obtained during the interview, and in subsequent contacts, related to _____________________, a minor. I also grant Focus Mid-South magazine and permission to use any photograph or likeness of me taken by Focus Mid-South magazine and photographers.

I understand that information from my interview and any photos may be used in a story to be published in Focus Mid-South magazine and online at (an LGBT-centric magazine and website). I understand Focus Mid-South magazine and is distributed in print in the Mid-South, by mail subscription, and online/worldwide on the internet which can be read by anyone in the world with access to the Internet, and may be available for years to come. I have been advised by Focus Mid-South magazine and that, as a minor, I will discuss my decision to consent to such publication with my parents or legal guardians. My parents and I are providing permission to Focus Mid-South magazine and to use my information and photographs of my own free will because I believe others may benefit from knowing of my experiences.

Specifically, my permission includes the following:

1. The right to publish and republish, at any time, the above information or photos in Focus Mid-South magazine and web site and in any subsequent medium for any noncommercial purpose, including promotion of Focus Mid-South magazine and;

2. The right of Focus Mid-South magazine and or individual authors or photographers to copyright such information or photographs in their own name;

3. The right of Focus Mid-South magazine and to use my name in connection with such information or photos if it chooses.
I waive any right to inspect or approve the finished story or stories, photographs or other uses of my information that may be published.

In consideration of my participation, I understand that, at my request, Focus Mid-South magazine and will, upon request, provide me (by USPS) with up to two copies of any issue that contains information or photographs related to me at no charge. I understand that the magazine is also distributed in many locations in the area for free and that I may take copies from stands.
I hereby release and discharge Focus Mid-South magazine and, its staff members, Ray Rico Freelance and its employees from any claims and demands arising out of or in connection with the use of the information or photographs described above, including any claims for libel or invasion of privacy.