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ModelReleaseForm PDF

This document is a model release form granting the photographer permission to use, modify, license, and distribute photos of the model for commercial purposes indefinitely. It transfers all rights and ownership of the images from the model to the photographer. The model agrees they will not seek additional compensation or make further claims related to the images. Personal information will only be used directly related to image licensing and may be transferred internationally.

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Pokemon Golah
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
58 views

ModelReleaseForm PDF

This document is a model release form granting the photographer permission to use, modify, license, and distribute photos of the model for commercial purposes indefinitely. It transfers all rights and ownership of the images from the model to the photographer. The model agrees they will not seek additional compensation or make further claims related to the images. Personal information will only be used directly related to image licensing and may be transferred internationally.

Uploaded by

Pokemon Golah
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Model Release

For Consideration herein acknowledged as received, and by signing Photographer and Shoot Information
this release I hereby give the Photographer / Filmmaker and Assigns
my permission to license the Content and to use the Content in any Name: ____________________________________
Media for any purpose (except pornographic or defamatory) which
may include, among others, advertising, promotion, marketing and Shoot Date: ________________________________
packaging for any product or service. I agree that the Content may be
combined with other images, text, graphics, film, audio, audio-visual Shoot Location / Description:
works; and may be cropped, altered or modified. I acknowledge and
agree that I have consented to publication of my ethnicity(ies) as __________________________________________
indicated below, but understand that other ethnicities may be
associated with me by the Photographer / Filmmaker and / or Assigns Photographer Signature:
for descriptive purposes.

I agree that I have no rights to the Content, and all rights to the __________________________________________
Content belong to the Photographer / Filmmaker and Assigns. I
acknowledge and agree that I have no further right to additional
Model Information
consideration or accounting, and that I will make no further claim for
any reason to Photographer / Filmmaker and / or Assigns. I
acknowledge and agree that this release is binding upon my heirs Full Name: _________________________________
and assigns. I agree that this release is irrevocable, worldwide and
perpetual, and will be governed by the laws (excluding the law of Date of Birth: _______________________________
conflicts) of the country/state from the following list that is nearest to
the address of the Model (or Parent*) given opposite: New York, Gender: Male Female
Alberta, England, Australia and New Zealand.
Parent / Guardian Full Name (if under 18yrs):
It is agreed that my personal information will not be made publicly
available but may only be used directly in relation to the licensing of __________________________________________
the Content where necessary (e.g. to defend claims, protect rights or
notify trade unions) and may be retained as long as necessary to Street Address:
fulfill this purpose, including by being shared with sub-licensees /
assignees of the Photographer / Filmmaker and transferred to __________________________________________
countries with differing data protection and privacy laws where it may
be stored, accessed and used. I represent and warrant that I am at City: _________________ Province / State: _______
least 18 years of age and have the full legal capacity to execute this
release. Country: ___________________________________

Definitions: “ASSIGNS” means a person or any company to whom Phone: ____________________________________


Photographer/Filmmaker has assigned or licensed rights under this
release as well as the licensees of any such person or company. Email: _____________________________________
“CONSIDERATION” means $1 or something else of value I have
received in exchange for the rights granted by me in this release.
“CONTENT” means all photographs, film, audio, or other recording, Ethnicity information is OPTIONAL and is requested
still or moving, taken of me as part of the Shoot. “MEDIA” means all for descriptive purposes only, and serves as a means
media including digital, electronic, print, television, film, radio and of providing more accuracy in assigning search terms.
other media now known or to be invented. “MODEL” means me and
includes my appearance, likeness and voice. “PARENT” means the Ethnicity: __________________________________
parent and/or legal guardian of the Model. Parent and Model are
referred to together as “I” and “me” in this release, as the context Model Signature or Parent / Guardian (if under 18yrs):
dictates. “PHOTOGRAPHER / FILMMAKER” means photographer,
illustrator, filmmaker or cinematographer, or any other person or entity
photographing or recording me. “SHOOT” means the photographic, __________________________________________
film or recording session described in this form.
Date Signed: _______________________________

500px Inc. Revision Date: March 14, 2014

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