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Creative
Fee > Model Release
Sample Adult Model Release |
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| Date: |
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| Production
Number: |
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| Photographer: |
Koren Reyes |
| Description: |
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In consideration of my services as a model, I hereby
agree as follows:
1. I hereby irrevocably grant to Photographer, the
absolute and unconditional, worldwide right, in
perpetuity, without right to any further payment,
to use, re-use, transmit, display, sell, license,
copyright, and publish my portrait, likeness, picture,
and image (collectively "My Likeness")
in any photographs, images, recording footage, video,
art or illustrations (collectively “Images"),
without restriction, in any and all media now known,
or hereafter invented, including without limitation,
art, advertising, stock photography, stock video/footage,
stock film, digital or electronic media, print,
broadcast, Internet, promotions, commercial and
non-commercial use, or for any other purpose throughout
the world
2. I agree that the Images may be combined with
other images, text and graphics and cropped, altered,
or modified. I waive all right to view, inspect
or approve any product, text, advertisement or any
other use of any Images that contain My Likeness
and I agree that no use of the Images need be submitted
to me for approval.
3. I hereby irrevocably agree to forever waive and
release any claim that I or my successors or assigns
have, or may have, against the photographer based
on any rights of privacy, publicity or any other
right that may arise from, or be related to, the
use, license, modification (including blurring,
altering or distorting whether intentional or otherwise),
distribution, publication or reproduction of My
Likeness in any and all media.
4. This Model Release is for the production described
above and all other prior productions. This Model
Release may not be changed or modified orally, and
I agree that this writing represents the entire
understanding between the photographer and myself.
I further acknowledge that the photographer may
assign his or her rights under this Model Release
to any third party.
5. If any provision of this Model Release is determined
by a court of law to be invalid, now or unenforceable
in any jurisdiction, then this Model Release shall
be construed so as to effect the widest possible
grant of right without violating the law of the
jurisdiction. Any dispute related to this Model
Release shall only be brought by the parties in
the Federal Courts of the State of New York, United
States, which courts shall have exclusive jurisdiction
over any matters related to this Model Release.
6. I represent and warrant that I (i) am of full
legal age in the jurisdiction in which this Model
Release is executed; (ii) am of full legal capacity;
(iii) enter into this Model Release voluntarily;
(iv) have not granted any rights that conflict with
those granted herein; and (v) have every right to
contract in my own name and grant the rights herein.
I have read this Model Release, prior to its execution,
and I agree with its terms.
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| Model's
Name: |
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| Model's
Signature: |
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| Date
of Birth: |
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| Model's
Address: |
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| Phone: |
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| Email: |
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| Model's
Tax ID/Driver's License Number: |
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Ethnicity
information is requested for descriptive
purposes only and serves as a means
of providing more accuracy in assigning
image search words. Mark each that applies
to model:
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Asian |
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Hispanic, Latin |
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Caucasian, White |
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African American |
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Native American |
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Middle Eastern |
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Mixed (please
describe) |
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| Witness Signature: |
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| Witness Printed Name: |
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| Witness Address: |
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Fee page |
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© 2012 Koren Reyes
Photography. All rights reserved.
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