MODEL RELEASE & AGREEMENT William M. Caldera | 4303 Waikiki Dr. | San Antonio TX 782818 www.williamcaldera.com | firstname.lastname@example.org For good and valuable Consideration herein acknowledged as received, and by signing this release I hereby give the William M. Caldera and Assigns my permission to license the Content and to use the Content in any Media for any purpose (except Model Information pornographic or defamatory) which may include, among others, advertising, promotion, marketing and I agree that the Content may be combined with other images, text, graphics, Name (print) __________________________________ film, audio, audio-visual works; and may be cropped, altered or modified. I agree that I have no rights to the Content, and Date of Birth (DD/MM/YEAR)______________________ all rights to the Content belong to the Photographer and Assigns. I acknowledge and agree that I have no further Gender: male female right to additional consideration or accounting, and that I will make no further claim for any reason to Photographer and / or Assigns. The Photographer reserves the irrevocable right Model (or Parent*) Information to post the Content on the Internet, including third party web sites such as but not limited to Facebook, Flickr, and Twitter Residence Address _____________________________ for the purpose of self promotion. I acknowledge and agree _____________________________________________ that this release is binding upon my heirs and assigns. The _____________________________________________ Photographer will retain copyright on all Content and I agree City _________________________________________ that this release is irrevocable, worldwide and perpetual, and will be governed by the laws (excluding the law of conflicts) of State/Province _____________ Bexar County, Texas. It is agreed that my personal information Country _________USA_________ will not be made public. I represent and warrant that I am Zip/Postal Code ________________________________ at least 18 years of age and have the full legal capacity to Phone _______________________________________ execute this release. E-mail _______________________________________ The Photographer agrees to make web sized resolution Signature _____________________________________ images (640x480) with the Photographers logo available for download on his website free of charge for a period of at least one month. Date signed (DD/MM/YEAR) ______________________ Definitions: “ASSIGNS” means a person or any company to whom *If Model is a minor or lacks capacity in the jurisdiction of Photographer has assigned or licensed rights under this release as well as residence, Parent warrants and represents that Parent is the licensees of any such person or company. “CONSIDERATION” means the legal guardian of Model, and has the full legal capac- digital images I have received in exchange for the rights granted by me in this ity to consent to the Shoot and to execute this release release. “CONTENT” means all photographs, film, audio, or other recording, still or moving, taken of me as part of the Shoot. “MEDIA” means all media OF ALL RIGHTS IN MODEL’S CONTENT. If you are including digital, electronic, print, television, film, radio and other media now signing in this capacity, please enter your details above known or to be invented. “MODEL” means me and includes my appearance, and your name below. likeness and voice. “PARENT” means the parent and/or legal guardian of the Model. Parent and Model are referred to together as “I” and “me” in this release, as the context dictates. “PHOTOGRAPHER” means William Parent Name:_________________________________ M. Caldera. “SHOOT” means the photographic, film or recording session if applicable described in this form.
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