Model Release
For good and valuable Consideration herein acknowledged as received, and by signing this release I hereby give the Artist and Assigns my permission to license the Images and to use the Images in any Media for any purpose without limitation (except pornographic or defamatory) which may include, among others, advertising, promotion, marketing and packaging for any product or service. I agree that the Images may be combined with other images, text and graphics, and cropped, altered or modified or the creation of derivative works.
Many users of photos search data bass for ethnic specific images for use in commercials. I acknowledge and agree that I have consented to publication of my ethnicity(ies) as indicated below and understand that the Artist and/or Assigns may assign ethnic key words for descriptive purposes to aid in data base searches.
I agree that I have no rights to the Images, and all rights to the Images
belong to the Artist and Assigns. I acknowledge and agree that I have no further right to additional Consideration or accounting, and that I will make no further claim for any reason to Artist and/or Assigns. I acknowledge and agree that this release is binding upon my heirs and assigns. I agree that this release is irrevocable, worldwide and perpetual, and will be governed by the laws of the State of
Minnesota of the United States of America .
The Model hereby release and indemnifies the Artist and Assigns , agents and sub-licensees, successors, form and against all claims, expenses (including attorney fees) or other liability arising from and against any and all use of the Images including without limitation, any claims any actions based on libel or slander or other defamation, right of privacy, right of publicity.
The Model and Artist each hereby warrant that they have read this Agreement and are familiar with the contents of this Agreement. This Agreement shall be binding on the on the agent, representatives, licensees and sub-licensees, assigns, heirs and successors of the Model and the Artist.
I represent and warrant that I am at least 18 years of age and have the full legal capacity to execute this release.
Definitions:
“MODEL” means me and includes my appearance, likeness and form.
“MEDIA” means all media including digital, electronic, print, television, film and other media now known or to be invented.
“ARTIST” means photographer, illustrator, filmmaker, videographer.
or cinematographer, or any other person or entity photographing or recording me.
“ASSIGNS” means a person or any company to whom Artist has assigned or licensed rights under this release as well as the licensees of any such person or company.
“IMAGES” means all photographs, film or digital file, recording taken of me as part of
the Shoot.
“CONSIDERATION” means something of value I have received in exchange for the rights granted by me in this release.
“SHOOT” means the photographic or film session described in this form.
“PARENT” means the parent and/or legal guardian of the Model. Parent and
Model are referred to together as “we” and “us” in this release.
Artist Information
Name (print) _________________________________________________
Address ____________________________________________________
____________________________________________________________
City __________________________________ State/Province _________
Country ___________________________ Zip/Postal Code ___________
Phone ______________________ Email __________________________
Shoot Date __________________________________________________
Shoot Description/Reference ____________________________________
Signature ___________________________________________________
Date _______________________________________________________
Model Information
Name (print) _____________________________________________________
Address ________________________________________________________
________________________________________________________________
City __________________________________ State/Province _____________
Country _____________________________ Zip/Postal Code _____________
Phone _______________________ Email _____________________________
Date of Birth _____________________________________________________
Signature _______________________________________________________
Date ___________________________________________________________
Parent(s) or Guardian(s) (if person is a minor or lacks capacity in the
jurisdiction of residence.) Parent warrants and represents that Parent is the
legal guardian of Model, and has the full legal capacity to consent to the
Shoot and to execute this release OF ALL RIGHTS IN MODEL’S IMAGES.
Name (print) _____________________________________________________
Address ________________________________________________________
________________________________________________________________
City __________________________________ State/Province _____________
Country _____________________________ Zip/Postal Code _____________
Phone _______________________ Email _____________________________
Signature _______________________________________________________
Date ___________________________________________________________
Additional information to be completed by Model: (Optional)
Ethnic information is requested for descriptive purposes only, and serves
as a means of providing more accuracy in assigning key words for search.
___Caucasian, White ___Hispanic, Latin____Chinese____Japanese
___Middle Eastern ___Native American ___Pacific Islander
___Black ___Mixed Race ___African American
Other: __________________________________________________
Witness OPTIONAL (NOTE: All persons signing and witnessing must be of
legal age and capacity in the area in which this Release is signed. A person
cannot witness their own release. Witness may wish to establish Model’s with
Model’s driver license.
Name (print) _____________________________________________________
Signature _______________________________________________________
Date ___________________________________________________________
There is no copyright on the Agreement. Any user of this document assumes
all responsibility of drafting.
This document was last updated on November 21, 2007