Michael Smith Photography
Forms and Documents - Model Release

Michael Smith Photography Standard Model Release

For good and valuable consideration herein acknowledged as received by signing this release, I hereby give the Photographer and/or Assigns my permission to license the images and to use the images in any media for any legal purpose whatsoever, 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 agree that I have no further rights to the images, and all rights to the images belong to the Photographer and/or 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/or Assigns. I agree that this release is irrevocable, worldwide and perpetual, and will be governed by the laws of the State of Florida, USA.

The Photographer hereby grants to the Model permission to use, and/or display, and/or publish up to five (5) photographic images of Model’s choice, and/or digital information relevant to them, in which the Model may be included in whole or in part, in any format made through any media for lawful promotion of the Model, as long as the copyright notice of the Photographer is clearly presented with the image

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 Michael Smith of Michael Smith Photography. "ASSIGNS" means a person or any company to whom Photographer Assigns or licenses 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 portraying a fictitious person 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 session described in this form.

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

Model Information

 

Name: (Print)  _______________________________

 

Address:  ___________________________________

 

City:  _______________________ State :  _______

 

Country:  ______________  Zip Code:  ____________

 

Phone:  ____________________________________

 

Email:  _____________________________________

 

Date of Birth:  ________________________________

 

Signature:  __________________Date:  ___________

 

Photographer Information

 

Name:  Michael Smith

 

Address:  PO Box 573

 

City:  Gulf Breeze State :  FL

 

Country:  USA  Zip Code:  32562 

 

Phone:  (850) 712-0639

 

Email:  michael@michaelsmithphotography.biz





Signature:  ________________  Date:  __________

                                              

Shoot Date:  _______________________________

 

Shoot Description:  __________________________

 

©2009 Michael Smith Photography

 

 
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