Model
Release Form
MODEL RELEASE
For valuable consideration received,
I hereby grant to _________________ (Photographer) the absolute
and irrevocable right and unrestricted permission to use, re-use,
display, distribute, transmit, publish, re-publish, copy, or
otherwise exploit, either in whole or in part, either digitally,
in print, or in any other medium now or hereafter known, for
any purpose whatsoever and without restriction, photographs
taken of me, or in which I may be included; to alter the same
without restriction; and to copyright the same. I understand
and agree that Photographer may or may not use may name in
conjunction with the photographs as he or she so chooses.
I hereby release and discharge
Photographer, and his or her agents, representatives, and assignees
from any and all claims and demands arising out of or in connection
with the use of the photographs, including without limitation
any and all claims for invasion of privacy, right of publicity,
and defamation.
I represent that I am over the
age of eighteen (18) years and that I have read the foregoing
and fully understand its contents. This release shall be binding
upon me, my heirs, legal representatives, and assigns.
This agreement is being made
and entered into under the laws of the State of __________
and shall be governed and interpreted in accordance with the
laws of said state. This agreement embodies the entire agreement
of the parties. No modification of this agreement shall be
of any effect unless it is made in writing and signed by all
of the parties to the agreement.
Date: _____________________
Name (Printed) ________________________________
Address: _____________________________________
_____________________________________________
Signature _____________________________________
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