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V I Imagery llc.
MODEL RELEASE FORM
In consideration of my engagement as a model, and
for other good and valuable consideration herein acknowledged as
received, I hereby grant the photographer ("A
V I Imagery llc. representative") the irrevocable right and permission,
throughout the world, in connection with the photographs he/she has
taken of me, or in which I may be included with others, the following:
(a) the right to use and reuse, in any manner at all, said photographs,
in whole or in part, or composite or distorted in character or
form, without restriction as to changes or alterations, in conjunction
with my own or a fictitious name, or reproductions thereof
either by themselves or in conjunction with
other photographs, in any medium or form of distribution, and for any
purposes whatsoever, including, without limitation, all promotional and
advertising uses, and other trade purposes, as well as using my name in
connection therewith, if he/she so desires; and (b) the right to
copyright said photographs in his/her own name or in any other name that
he/she may select. I waive the right to inspect or approve any use
thereof.
I hereby forever release and discharge Photographer from any and all
claims, actions and demands arising out of or in connection with the use
of said photographs, including, without limitation, any and all claims
for invasion of privacy and libel. This release shall inure to the
benefit of the assigns, licensees and legal representatives of
Photographer, as well as the party(ies) for whom he/she took said
photographs.
If a minor or under the age of eighteen (18):
_________________________ A parent or
guardian must give permission
Date
by signing below: Minor's age:_________
________________________________
Parent or Guardian Print Name
________________________________
Parent or Guardian Signature
___________________________
________________________________
Photographer Print Name
Model Print Name
___________________________
________________________________
Photographer Signature
Model Signature
___________________________
________________________________
Photographer Phone
Model Phone
Read Carefully, if you have questions, or
feel uncomfortable signing, DO NOT SIGN, Seek Legal Advice. |
