MODEL RELEASE: AGREEMENT AND AUTHORIZATION FOR MODEL TO BE IN MEDIA
THIS MODEL RELEASE (the "Agreement") is made and entered into this ____________________ (the "Execution Date"),
BETWEEN:
Norman Sargent Photography of
128 Daylilly Ln, Mount Hope WV, 25880
Email: norman@nsargentpics.com
Phone: (304) 362-1470
(the "Artist")
OF THE FIRST PART
-AND-
Model Name | ________________________________________ | |
Street Address | ________________________________________ | |
City, State, ZIP code | ________________________________________ | |
________________________________________ | ||
Home Phone | ________________________________________ | |
Work Phone | ________________________________________ | |
Cell Phone | ________________________________________ |
(the "Model")
OF THE SECOND PART
BACKGROUND:
- The Artist may choose or is currently engaged in the business of creating media, which includes but is not limited to engaging in the following activities for personal and commercial gain:
- photography, photo editing, and photo production; digital photography, digital photo editing, and digital photo production; and web design and production.
- photography, photo editing, and photo production; digital photography, digital photo editing, and digital photo production; and web design and production.
- The Model consents to being a subject of the Artist in media. The Model will allow the Artist to capture images and sound recordings for use in media.
WHEREBY:
THE ARTIST IS RELEASED OF LIABILITY: For good and valuable consideration herein acknowledged as received, the Model releases the Artist and assigns permission to license all images and sound recordings and to use of images and sound recordings in any media for any purpose which may include, among others, advertising, promotion, marketing and packaging for any product or service. The Model agrees that any images and sound recordings may be combined with other images, text and graphics, cropped, altered and modified.
THE ARTIST RETAINS ALL RIGHTS: The Model agrees that the Artist has all rights to images and sound recordings, for perpetuity unless explicitly noted in this Agreement. The Model acknowledges and agrees that the Artist is not liable for any further consideration, accounting, or claim for any reason.
DURATION OF AGREEMENT: The Model acknowledges and agrees that this Agreement is binding on all heirs and assigns. The Model acknowledges and agrees that this Agreement is irrevocable, worldwide and perpetual.
This Agreement contains the entire agreement between the parties to this release and the terms of this Agreement are contractual and not a mere recital.
This Agreement will be construed in accordance with and governed by the laws of the State of West Virginia.
_____________________________ |
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____________________ (Model) |
IF THE MODEL IS UNDER THE LEGAL AGE OF MAJORITY:
I am the parent or legal guardian of the minor above named as the Model, and I have legal authority to execute this Agreement on the Model's behalf. I have read and fully understood the contents of this Agreement, and consent to the said use of images and sound recordings based on the contents of this Agreement.
_____________________________ |
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____________________ (Parent) |
For good and valuable consideration, the Model releases Norman Sargent Photography and assigns permission to license and use all images and sound recordings in any media and for any purpose. The Model agrees that Norman Sargent Photography has all rights to images and sound recordings for perpetuity. This agreement is irrevocable, worldwide and perpetual. Model Name (Print): __________________________ Model Signature: _________________________ Parent/Guardian Signature*: ______________________ Date: _____________________________ *required if Model is under the legal age of majority. |
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