Home Portfolio Biography Contact

Model Release

In consideration of compensation as indicated below, receipt of which is hereby acknowledged, I _____________________________ (hereafter "Model") do hereby irrevocably authorize, Athen Grey (hereafter "Photographer"), Photographer's legal representatives, assigns, and those acting under Photographer's permission and on Photographer's authority, to copyright, publish, and use in all forms and media and manners for advertising, trade, promotion, exhibition, or any other lawful purpose whatsoever, any depictions of myself made by Photographer or Photographer's representative, in which I may be included in whole or in part, alone or in conjunction with other persons, or composite or distorted in character, or form, or based on or involving any stunt poses, in conjunction with my own or a fictitious name, or reproductions thereof in color or otherwise, or in derivative works made through any medium, where said depictions may include any or all of still, single, multiple or moving photographic images or pictures, video recordings or audio recordings (collectively hereafter the "Depictions.")

Model does hereby waive any right to inspect or approve the finished product or advertising or other copy that may be used in connection therewith or the use to which they may be applied.

Model hereby releases and agrees to hold harmless Photographer, his legal representatives, assigns, and all persons acting under his permission or authority, from any liability by virtue of blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of the pictures, or in any processing tending toward the completion of the finished product, unless it can be clearly shown that the publication thereof were maliciously caused, and produced, and published solely for the purpose of subjecting Model to conspicuous ridicule, scandal, reproach, scorn, and indignity.

Model hereby affirms that all poses, positions and situations enacted in the Depictions covered in this release were entered into without force, coercion, or threat whatsoever, and were posed freely by Model with Model's full consent in return for compensation and for Model's own amusement. Model further agrees to hold blameless and free of all accusation of such force or coercion Photographer, his legal representatives, assigns, and those acting under his permission and on his authority.

Model hereby affirms that his/her date of birth is __________________ and that Model is fully able to contract in his/her own name without breach of any prior agreement or applicable law.

Model's compensation in connection with this instrument is: (cross out any that do not apply)

(a) Modeling fee of ____________ dollars.

(b) Other compensation (describe):
  ________________________________________________________
  ________________________________________________________
  _______________________________________________________.

I have read the above authorization and release prior to its execution and I am fully familiar with and agree to the contents thereof.

 
___________________________________________   ___________________________________________
Model's Signature

  Model's Phone

___________________________________________   ___________________________________________
Today's Date   Model's email address
 
___________________________________________   ___________________________________________
___________________________________________   ___________________________________________
___________________________________________   ___________________________________________
___________________________________________   ___________________________________________
Model's mailing address   Talent agency name and address (if applicable)

 

 

 

 

Model Release
(Minor Model)

In consideration of compensation as indicated below, receipt of which is hereby acknowledged, I ________________________ (hereafter "Model"), and ________________________________ (hereafter "Parent") as Model's parent or legal guardian, do hereby irrevocably authorize Athen Grey (hereafter "Photographer"), Photographer's legal representatives, assigns, and those acting under Photographer's permission and on Photographer's authority, to copyright, publish, and use in all forms and media and manners for advertising, trade, promotion, exhibition, or any other lawful purpose whatsoever, any depictions of Model made by Photographer or Photographer's representative, in which Model may be included in whole or in part, alone or in conjunction with other persons, or composite or distorted in character, or form, or based on or involving any stunt poses, in conjunction with Model's own or a fictitious name, or reproductions thereof in color or otherwise, or in derivative works made through any medium, where said depictions may include any or all of still, single, multiple or moving photographic images or pictures, video recordings or audio recordings (collectively hereafter the "Depictions.")

Model and Parent do hereby waive any right to inspect or approve the finished product or advertising or other copy that may be used in connection therewith or the use to which they may be applied.

Model and Parent hereby release and agree to hold harmless Photographer, his legal representatives, assigns, and all persons acting under his permission or authority, from any liability by virtue of blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of the pictures, or in any processing tending toward the completion of the finished product, unless it can be clearly shown that the publication thereof were maliciously caused, and produced, and published solely for the purpose of subjecting Model to conspicuous ridicule, scandal, reproach, scorn, and indignity.

Model and Parent hereby affirm that all poses, positions and situations enacted in the Depictions covered in this release were entered into without force, coercion, or threat whatsoever, and were posed freely by Model with Model's and Parent's full consent in return for compensation and for Model's own amusement. Model and Parent further agree to hold blameless and free of all accusation of such force or coercion Photographer, his legal representatives, assigns, and those acting under his permission and on his authority.

Parent hereby affirms that he/she is the mother, father, or legal guardian of Model and that Model's date of birth is _________________________________ and that Parent's date of birth is _____________________________.

Parent hereby affirms that neither Model's nor Parent's execution of this instrument causes a breach of any prior agreement or applicable law, including but not limited to a prior agreement with a modeling agency, talent agency, or other photographer.

The compensation in connection with this instrument is: (cross out any that do not apply)

(a) Modeling fee of _______________ dollars.

(b) Other compensation (describe):
  ________________________________________________________
  ________________________________________________________
  _______________________________________________________.

We have read the above authorization and release prior to its execution and are fully familiar with and agree to the contents thereof. Signing of this Minor Model Release by Model and Parent must be witnessed by Photographer.


___________________________________________

___________
Model's Signature Date

___________________________________________

___________
Parent's signature

Date
___________________________________________
Model's Phone

___________________________________________
Model's Email

___________________________________________
___________________________________________
___________________________________________
___________________________________________
Model's mailing address

___________________________________________
___________________________________________
___________________________________________
___________________________________________
Talent agency name and address (if applicable)


Privacy Policy | Terms and Conditions

All text and images contained herein are protected by the Copyright laws of the United States and other nations.
Any unauthorized duplication or use of the contents of this web site will result in civil and criminal prosecution.

Copyright © 2008 All Rights Reserved