Tony Belmont Photography

Look Beautiful with Glamorous Portraits

SAMPLE MODEL RELEASE

The signing of any model release is completely voluntary.  However, as noted, Ageless Photography offers a discount for doing so.  Because Ageless Photography values our client relationships, you can rest assured that we will take every precaution to reproduce and exhibit, show, or use any image of you to ensure you look your absolute best.  We place the highest value in your reputation, as well as ours.

Sample of Complete Model Release
(deduct $51 from photo session for signing this release)

In consideration of my engagement as a model, upon the terms herewith stated, I hereby give to Tony Belmont, his/her heirs, legal representatives and assigns, those for whom Tony Belmont is acting, and those acting with his/her authority and permission:

a) the unrestricted right and permission to copyright and use, re-use, publish, and republish photographic portraits or pictures of me or in which I may be included intact or in part, composite or distorted in character or form, without restriction as to changes or transformations in conjunction with my own or a fictitious name, or reproduction hereof in color or otherwise, made through any and all media now or hereafter known for illustration, art, promotion, advertising, trade, or any other purpose whatsoever.

b) I also permit the use of any printed material in connection therewith.

c) I hereby relinquish any right that I may have to examine or approve the completed product or products or the advertising copy or printed matter that may be used in conjunction therewith or the use to which it may be applied.

d) I hereby release, discharge and agree to save harmless Tony Belmont, his/her heirs, legal representatives or assigns, and all persons functioning under his/her permission or authority, or those for whom he/she is functioning, 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 said picture or in any subsequent processing thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy.

e) I acknowledge that the photography session was conducted in a completely proper and highly professional manner, and this release was willingly signed at its termination. I hereby affirm that I am over the age of majority and have the right to contract in my own name. I have read the above authorization, release and agreement, prior to its execution; I fully understand the contents thereof. This agreement shall be binding upon me and my heirs, legal representatives and assigns.

Dated: _____________________________________

Signed:_____________________________________

Address:____________________________________

City:_______________________________________

State/Zip:____________________________________

Phone:______________________________________

Witness:_____________________________________

Sample of a Simple Model Release
(Deduct $25 from Photo Session for signing this release)

In consideration for value received I hereby give Tony Belmont (the Photographer) and parties designated by the Photographer, including clients, licensees, purchasers, agencies, and periodicals, the irrevocable right to use my name and/or a fictional name and photograph for sale to and reproduction in any medium for purposes of, but not limited to: trade, advertising, display, exhibition, or editorial use.

I do (also) grant the Photographer the right to use my finished photos in a personal portfolio or as samples for display purposes.

I will use the images I receive from this photo shoot for my personal use and/or self promotion only, and will not sell or assign the image(s).

I acknowledge that the photography session was conducted in a completely proper and highly professional manner, and this release was willingly signed at its termination.

I have read this release, and understand and agree to its terms. I affirm that I am more than Eighteen (18) years of age, and have the right and ability to sign.

Model’s Name:_____________________________________________________

Model’s Signature, Date:_____________________________________________

Photographer’s Signature, Date:_______________________________________

Witness’ Name, Relationship (if any):___________________________________

Witness’ Signature, Date: ___________________________________________

Tony Belmont Photography
West Los Angeles, California
 
Primary Phone:  I AIM 4 IMAGE  (424-644-6243)