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Fanvue Model Release Form Template

Uploaded by

DINA NATALIA SUAREZ GIL
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
164 views

Fanvue Model Release Form Template

Uploaded by

DINA NATALIA SUAREZ GIL
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Fanvue Model Release Form

Party A (Photographer, Model, Creator)


Name
Address
Email
Phone

Party B (Model, Creator)


Name
Address
Email
Phone

Event
Location
Date

In exchange for receiving (check/tick as appropriate):

Fee in the amount of _____________

Free media

I, Party B, grant you, Party A, usage of the photographs subject to the following conditions:

 I understand that the media taken of me during this session can be used in any publication
(commercial or otherwise), portfolio or public display.
 The media may be used to represent the model and any wording associated will not be
attributed to me unless my name is specifically mentioned.
 Any special conditions on usage agreed between both parties:

___________________________________________________________________________

___________________________________________________________________________

I acknowledge that by signing this form, subject to the usage restrictions above, I give up all claims
of sole ownership of the media and assign a licence to Party A named above. No further payment
will be due. Use of the media may be granted to third parties, however, the media will remain the
property of both parties.

I have read this form carefully and fully understand the implications. I am 18 years old or over.

Signed ____________________________________________________
(Party A) Date: _______________________________________________

Signed ____________________________________________________

(Party B) Date: _______________________________________________

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