I __________________________ (hereafter "Model"), in the interest of gaining valuable modeling experience and in exchange for photographs of myself, do hereby irrevocably authorize ____________________________ (hereafter "Photographer"), and those acting with Photographer's permission, to use photographs taken by Photographer of myself on the date of ________________________ and derivative works based thereupon (collectively hereafter the "Photos") for all lawful purposes subject to the terms and conditions described herein.
I agree that the aforementioned exchange is for photographs delivered to me by Photographer in the quantity and format described as follows: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________.
I agree that, while I may use the Photos for purposes related to the
promotion of my Modeling business, including but not limited to advertising,
portfolios, composite cards, exhibitions, contests, and promotional internet web
sites, I will not sell publication rights in any or all of the Photos without
Photographer's prior consent.
Photographer grants Model non-transferable and non-exclusive reproduction rights to the Images. Model shall not transfer, license, sell, lease, or otherwise confer either permanently or temporarily any reproduction rights to any Images, to any third party.
Likewise, I authorize Photographer to use the Photos for purposes related to the promotion of Photographer's business, including but not limited to advertising, portfolios, composite cards, exhibitions, contests, and promotional internet web sites, but do not authorize Photographer to sell publication rights in any or all of the Photos except with my prior consent.
Model hereby releases and agrees to hold harmless Photographer and those acting under his permission, from any liability by virtue of blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of the pictures, or in any processing tending toward the completion of the finished product, unless it can be clearly shown that the foregoing was maliciously caused, and produced, and published solely for the purpose of subjecting Model to conspicuous ridicule, scandal, reproach, scorn, and indignity.
Model hereby affirms that all poses, positions and situations enacted in the Photos covered in this release were entered into without force, coercion, or threat whatsoever, and were posed freely by Model with Model's full consent. Model further agrees to hold blameless and free of all accusation of such force or coercion Photographer, his legal representatives, assigns, and those acting under his permission.
Model hereby affirms that his/her date of birth is ________________________________ and that Model is fully able to contract in his/her own name without breach of any prior agreement or applicable law, including but not limited to prior agreements with modeling and talent agencies.
I have read the foregoing prior to its execution and I am fully familiar with and agree to the contents thereof.
Signature of Model's parent or legal guardian,
if model is under 18 years of age
Model's mailing address