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Model Release Form

Model / performer agrees to be photographed by Photographer for advert. Model releases Photographer from any claims for remuneration associated with use of the images. Model katy boal agrees to the terms of this model Agreement and release.

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nattie909
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© © All Rights Reserved
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47 views

Model Release Form

Model / performer agrees to be photographed by Photographer for advert. Model releases Photographer from any claims for remuneration associated with use of the images. Model katy boal agrees to the terms of this model Agreement and release.

Uploaded by

nattie909
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ADULT MODEL/PERFORMER AGREEMENT RELEASE

Date/s of production/s: _____________22 March 2014 ________________



Model: ______katy ___________________________________

Address: ______25 star lane statham ______________________________

_______________________________________________

Phone No: _____________07849324580______________________

Models Age (at time of production): _________17_________

Description of production/s: _______photo-shoot _for advert _________

________________________________________________

________________________________________________

________________________________________________

Place photo of model in box.

THIS MODEL AGREEMENT AND RELEASE (Agreement) is dated ___________ and is between the undersigned
Photographer (Photographer) and the undersigned model/performer (I). Agreement as follows:

I hereby grant the undersigned Photographer permission to photograph me. I further give my irrevocable consent to
Photographer and his/her direct or indirect licensees and assignees to publish republish or otherwise transmit the images of
myself in any medium for all purposes throughout the world. I understand that the images may be altered or modified in any
manner. I hereby waive any right that I may have to inspect and approve a finished product or the copy that may be used in
connection with an image that the Photographer has taken of me, or the use to which it may be applied. I further release the
Photographer and his/her direct or indirect licensees and assignees, from any claims for remuneration associated with any form
of damage, foreseen or unforeseen, associated with the use of the images.

I am of legal age and have the full legal capacity to execute this authorization without the consent or knowledge of any
Other person.


AGREED BY THE MODEL/PERFORMER PHOTOGRAPHER


Signature of Model: kboal Print Name katy boal

Signature of Photographer NJboynes Print Name Nathalie Jane Boynes


Date: ___________24 March 2014 ______________________

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