Model Release Form printable pdf download

Model Release

154 Marina Bay Court, Sylvan Lake, AB, Canada T4S 1E9 | Phone: 403.304.7690 Toll‐Free: 1.866.493.8326

For good and valuable Consideration herein acknowledged as received, and by signing this release I hereby give

the Photographer and Assigns my permission to license the Images and to use the Images in any Media for any

purpose (except pornographic or defamatory) which may include, among others, advertising, promotion,

marketing and packaging for any product or service. I agree that the Images may be combined with other images,

text and graphics, and 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 Images of

me by the Photographer and/or Assigns for descriptive purposes.

I agree that I have no rights to the Images, and all rights to the Images belong to the Photographer and Assigns. I

acknowledge and agree that I have no further right to additional Consideration or accounting, and that I will make

no further claim for any reason to Photographer and/or Assigns. I acknowledge and agree that this release is

binding upon my heirs and assigns. I agree that this release is irrevocable, worldwide and perpetual, and will be

governed by the laws of the Province of Alberta, Canada.

I represent and warrant that I am at least 18 years of age and have the full legal capacity to execute this release.

Definitions:

“MODEL” means me and includes my appearance, likeness and form.

“MEDIA” means all media including digital, electronic, print, television, film and other media now known or to be

invented.

“PHOTOGRAPHER” means photographer, illustrator, filmmaker or cinematographer, or any other person or entity

photographing or recording me.

“ASSIGNS” means a person or any company to whom Photographer has assigned or licensed rights under this

release as well as the licensees of any such person or company.

“IMAGES” means all photographs, film or recording taken of me as part of the Shoot.

“CONSIDERATION” means something of value I have received in exchange for the rights granted by me in this

release.

“SHOOT” means the photographic or film session described in this form.

“PARENT” means the parent and/or legal guardian of the Model. Parent and Model are referred to together as

“we” and “us” in this release.

Photographer Information

Name: Dean Watkiss – Brass Edge Photography

Address: 154 Marina Bay Court

Sylvan Lake, Alberta T4S 1E9 Canada

Phone: 403‐304‐7690 Email: dean@brassedgephotography.com

Signature ____________________________________________________Date_____________________________

Brass Edge Photography | 154 Marina Bay Court, Sylvan Lake, AB, Canada T4S 1E9 | Phone: 403.304.7690 Toll‐Free: 1.866.493.8326

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Model Release Form