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Sample Model Release

This is a sample only. Please seek an attorney.


You need to get a signed model release and a copy of at least one valid photo ID from every performer in your video. We recommend getting a signed release and ID copy every time the model works for you. Remember that all performers must be at least 18 years old and the paperwork must be completed in their real name. Often a performer will want to use a stage name for the video and you should comply with their wishes if possible. We also strongly recommend that you read the legal information available elsewhere in the producers' web site dealing with USC Title 18 Section 2257 and CFR Title 28 Section 75 as these laws and regulations deal with model documentation, record-keeping, and product labeling.

Cut and paste the release below into your word processor and have several copies on hand when you need them.

Release Form

For and in consideration of my engagement as a model by the videographer,and moneys paid or to be paid to me by the videographer,and in further consideration of the publicity to be received by the undersigned by the use of such videos,I hereby give the videographer,his representatives and assigns,those acting with his permission,and their representative agents and employees,and any other publisher (herein collectively referred to as the "Users"),who may hereafter publish the films or videos,the absolute right and permission to copyright,use,reuse,publish,republish,exhibit,display,print and reprint in advertising materials,television and motion pictures,magazines,books,and other media,and for any other purpose as they may see fit,in their sole and absolute discretion,the films,videos,negatives,prints or every kind and nature,illustrations,portraits made from the videos,pictures,designs,paintings and drawings of every kind and nature heretofore taken,or taken this day,or hereafter taken by the photographer (herein collectively referred to as the "Videos"),including,without limitation,reproductions thereof in which I may be included in whole or in part. Such Videos may be used in any way by the Users for purpose of trade,advertising,publicity or promotion or any kind without restriction. The failure of the videographer to pay for such use shall not be deemed as a failure of consideration by any of the Users.

I hereby waive any right to inspect or approve the Videos or the editorial or advertising copy or printed matter that may be used by the Users in conjunction therewith. I further waive any claim that I may have to the eventual use to which it may be applied. Such Videos may be used with or without my name,or any fictitious name,and with fictitious or actual quotations,interviews,or biographical material. The Users may use such Videos and accurate or fictitious statements attributed to me which may constitute endorsement of service or products,in the sole discretion of the Users.

I hereby release,discharge,and agree to save harmless the Users from and against any and all liability in connection with the use of such Videos,even should the same subject me to ridicule,scandal,reproach,scorn,or indignity,and from any liability as a result of any distortion,blurring or alteration,optical illusion or use in composite form,either intentionally or otherwise,that may occur or be reproduced in the taking,processing or reproduction of the finished product,or its publication or distribution. I waive any claim that I may have for alleged violation of privacy,defamation or libel by the use of such Videos.

I hereby represent that I am over the age of 18 years and have read this authorization and release prior to its execution. I have not been induced to sign the same other than by recited considerations,by any statement made by the videographer or his agents,employees,or anyone acting on his behalf. My signature below is acknowledgement that the identification that appears below is true and accurate. World rights and multiple usage of the Videos is hereby authorized.

Model's Name:___________________________________________

Model's Address:________________________________________

Model's City/State/Zip:_________________________________

Model's Telephone Number:_______________________________

Model's Social Security Number:_________________________

Model's Birth Date & Age:_______________________________

Model's Stage Name:_____________________________________

Model's Signature & Date:_______________________________





Social Security Number:_________________________________

Videographer's Signature & Date:________________________

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