Model Release Agreement Form

MODEL RELEASE AGREEMENT

This Model Release Agreement (the Agreement) is made as of (Effective Date), by and between Producer Name: with principal place of business at ("Producer"), and Model Name: residing at ("Model").

RECITALS

WHEREAS, Producer intends to photograph, film, record, and/or otherwise capture the Model's likeness, image, voice and performance in connection with a project described below; and

WHEREAS, Model consents to the capture and use of Model's likeness under the terms set forth in this Agreement; and

WHEREAS, the parties desire to set forth the rights, obligations and consideration relating to such capture and use.

NOW, THEREFORE

In consideration of the mutual promises set forth below and other good and valuable consideration, the sufficiency of which is acknowledged, the parties agree as follows:

1. DESCRIPTION OF SERVICES

Shoot Date: . Location:

2. GRANT OF RIGHTS

Model hereby grants and assigns to Producer, its successors, licensees and assigns, an exclusive, irrevocable, worldwide, perpetual, transferable and sublicensable right and license to photograph, film, record, reproduce, publish, distribute, exhibit, broadcast, modify, adapt, translate, create derivative works from and otherwise use Model's name, image, likeness, voice and performance (collectively, the Likeness) in any and all media now known or hereafter developed for any commercial, promotional, advertising, educational or other lawful purpose. Producer shall have the right to crop, composite, alter, combine with other materials and to use the Likeness alone or with others.

3. OWNERSHIP AND COPYRIGHT

Unless otherwise agreed in writing, the parties acknowledge and agree that all Photographs, video, audio and other materials created by Producer containing the Likeness shall be the sole and exclusive property of Producer and shall be deemed a work made for hire for which Producer owns all copyrights. To the extent any such materials are not deemed work made for hire, Model irrevocably assigns and transfers to Producer all right, title and interest in and to such materials, including all copyrights and moral rights to the fullest extent permitted by law.

4. CONSIDERATION

Model acknowledges receipt of good and valuable consideration, the sufficiency of which is acknowledged. Select applicable: Paid Unpaid / Promotional

5. REPRESENTATIONS AND WARRANTIES

Model represents and warrants that Model is at least 18 years of age and has the full right, power and authority to enter into this Agreement and to grant the rights granted herein; that no conflicting agreement or restriction prevents Model from granting these rights; and that the exercise of the rights granted to Producer will not violate the rights of any third party. Model agrees to execute such further documents as may be reasonably requested to effectuate the purposes of this Agreement.

6. MINOR AND GUARDIAN CONSENT

If Model is under 18 years of age, the signature of a parent or legal guardian is required below. By signing below, the parent or guardian represents that they have the legal authority to enter into this Agreement on behalf of the minor and consent to all terms herein.

7. INDEMNIFICATION

Model shall indemnify, defend and hold harmless Producer, its affiliates, licensees, successors and assigns, and their officers, directors, employees and agents from and against any and all claims, liabilities, losses, damages, costs and expenses (including reasonable attorneys' fees) arising out of or relating to any breach of the representations and warranties made by Model herein, or any claim by a third party that the grant of rights herein infringes such third party's rights.

8. RELEASE AND LIMITATION OF LIABILITY

Model releases and discharges Producer from any and all claims, demands and causes of action which Model may now have or hereafter have for libel, invasion of privacy, publicity or any other claim arising out of the use of the Likeness as permitted by this Agreement. Producer shall not be liable for any incidental or consequential damages.

9. CREDIT AND ATTESTATION

Producer is under no obligation to provide Model with credit for the use of the Likeness. Any credit provided shall be at Producer's sole discretion and shall not be deemed consideration beyond that expressly set forth herein.

10. NOTICES

All notices required or permitted under this Agreement shall be in writing and delivered to the addresses below or such other address as a party may designate by notice to the other party pursuant to this section.

11. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Agreement shall be governed by and construed in accordance with the laws of the state specified below without regard to conflict of law rules. The parties agree that the state chosen below shall have exclusive jurisdiction over disputes arising under this Agreement.

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings and negotiations. If any provision of this Agreement is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

12. AMENDMENTS; WAIVER; COUNTERPARTS

No amendment, modification or waiver of any provision of this Agreement shall be effective unless in writing and signed by both parties. No waiver by either party of any breach shall be deemed a waiver of any subsequent breach. This Agreement may be executed in counterparts, each of which shall be deemed an original, and facsimile or electronic signatures shall be treated as originals for all purposes.

13. MISCELLANEOUS

The headings used in this Agreement are for convenience of reference only and shall not affect the interpretation of this Agreement. The parties agree to execute any additional documents reasonably necessary to carry out the intent of this Agreement.

CONTACT INFORMATION

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