MODEL RELEASE FORM AND LIABILITY WAIVER (THIS FORM MUST BE FILLED OUT AND SIGNED BEFORE YOUR SESSION WILL TAKES PLACE. PLEASE READ THROUGH IT CAREFULLY. )
THIS IS AN AGREEMENT CONTRACT BETWEEN THE REFERENCED MODEL, KNOWN FOR THE PURPOSES OF THIS AGREEMENT AS “MODEL”, CLIENT NAME, KNOWN FOR THE PURPOSES OF THIS AGREEMENT AS "KIIRA HEALTH," AND GAURY VERMA PHOTOGRAPHY, KNOWN FOR THE PURPOSES OF THIS AGREEMENT AS PHOTOGRAPHER. MODEL, CLIENT, AND PHOTOGRAPHER AGREE TO THE FOLLOWING:

I, as a model hereby grant and authorize Kiira Health, Gaury Verma Photo, and their assignees, agents, or licensees to use my name and likeness and these portraits, photographs, and reproductions thereof of me in any article, brochure, book, etc. concerning photographic work and all editorial, advertising, promotional, commercial or informative purposes related thereto.

I waive any inspection or approval of the above mentioned uses and I release Kiira Health, Gaury Verma Photo, their assignees, agents, or licensees from any and all liability and any claims by me arising from the uses described herein.

I agree that I will be compensated $200 for this use of my likeness. I waive any right to royalties or other compensation arising or related to the use of the photograph.