MODEL RELEASE
For good and valuable consideration, the receipt and sufficiency
of which is hereby acknowledged, I ____________________________
_________________________[model name] hereby grant _________________________________________________[photographer
name] (the "Photographer"), his heirs, legal representatives,
and assigns, those for whom the Photographer is acting, and those
acting with his authority and permission, the irrevocable and unrestricted
right and permission to copyright, in his own name or otherwise,
and use, re-use, publish, and re-publish photographic portraits
or pictures of me or in which I may be included, in whole or in
part, as part of a composite or distorted in character or form,
without restriction as to changes or alterations, in conjunction
with my own or a fictitious name, or reproductions thereof in color
or otherwise, made through any medium at his studios or elsewhere,
and in any and all media now or hereafter known for illustration,
promotion, art, editorial, advertising, trade, publishing, or any
other purpose whatsoever. I also consent to the use of any printed
matter in connection therewith.
I hereby waive any right that I may have to inspect or approve
the finished product or products and the advertising copy or other
matter that may be used in connection therewith or the use to which
it may be applied.
I hereby release, discharge, and agree to save harmless the Photographer,
his heirs, legal representatives and assigns, and all persons acting
under his permission or authority or those for whom he is acting,
from any liability by virtue of any blurring, distortion, alteration,
optical illusion, or use in composite form, whether intentional
or otherwise that may occur or be produced in the taking of such
photographic portraits or pictures or in any subsequent processing
thereof, as well as any publication thereof, including without limitation
any claims for libel or invasion of privacy.
I hereby warrant that I am of full legal age and have the right
to contract in my own name. I have read the above authorization,
release, and agreement, prior to its execution, and I am fully familiar
with the contents thereof.
This release shall be binding upon me and my heirs, legal representatives,
and assigns.
Photographer Model
Name (print) ______________________________________ Name (print)
_____________________________________
Date _________ Signature __________________________ Date _________
Signature __________________________
Phone ____________ Address _______________________ Phone ____________
Address ______________________
City ________________ State ________ Zip ____________ City ________________
State ________ Zip ___________
Country ___________________ Email: _________________ Country ___________________
Email: ________________
Witness
Name (print) ____________________________________________Date _______________
Signature ___________________
ID __________________________________________________________
Русская версия
Я, _________________________________________________________________________________________________,
предоставляю полное и исключительное право ___________________________________________________________________
публиковать мои фотографии, на которых я изображен(а), полностью
или фрагментарно, в цвете или нет, под моим или вымышленным именем.
А также предоставляю полное и абсолютное право использовать фотографии
с моим изображением на выставках, для рекламы, в печати или любых
других целях, не противоречащих действующему законодательству. Я
отказываюсь от права исправлять фотоснимки или вмешиваться в право
автора публиковать мои фотографии. Разрешаю подработку моих фотографий,
ретуширование, затемнение, искажение и изменение изображения, применение
оптических иллюзий, использованных в композициях, как преднамеренно,
так и непреднамеренно в процессе подготовки публикации окончательного
варианта фотографии.
Я подтверждаю, что не буду оспаривать авторские и имущественные
права на эти фотографии.
Настоящим я удостоверяю, что являюсь совершеннолетним(ней) и имею
полное право заключить настоящее соглашение. Я подтверждаю, что
полностью ознакомлен(а) с вышеупомянутым разрешением , версией и
соглашением до их подписания.
Подпись _______________________________ Дата _________________
Адрес _____________________________________________________________________________________________________
Паспортные данные _________________________________________________________________________________________
Свидетель ________________________________________________________________________________________________
|