Please use the section appropriate to your
situation/case:
1) Adult Model Release
2) Minor Model Release
3) Property Release
MODEL RELEASES (please use the correct one)
Model Release for an Adult
In consideration of my engagement as a model,
upon the terms herewith stated, I hereby give to CesarUSA.com,
CesarInternational.com, websites and companies from the same
owners -herein known as The Company-, their heirs, legal representatives and
assigns, those for whom The Company are acting, and those acting with their
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
[photographer], 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 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: _____________________________________
Full Name: _____________________________________
Address: ____________________________________
City: _______________________________________
State/Zip: ____________________________________
Phone: ______________________________________
Signature of the witness: __________________________________
Name of the Witness: _____________________________________
Relationship to the model: _________________________________
Address:
________________________________________________
City: _______________________________________
State/Zip: ___________________________________
Phone: ______________________________________
Model Release for a Minor
For valuable consideration, I hereby confer on
The Company the absolute and irrevocable right and
permission with respect to the photographs that he/she has taken of my
minor child in which he/she may be included with others:
a) To copyright the same in The Company
name or any other name that it/they may select;
b) To use, re-use, publish and re-publish the same in whole or in
part, separately or in conjunction with other photographs, in any
medium now or hereafter known, and for any purpose whatsoever,
including (but not by way of limitation) illustration, promotion,
advertising and trade, and;
c) To use my name or my child’s name in connection therewith if he/she
so decides.
I hereby release and discharge The Company
from all and any claims and demands ensuing from or in connection with
the use of the photographs, including any and all claims for libel and
invasion of privacy.
This authorization and release shall inure to the benefit of the legal
representatives, licensees and assigns of photographer photographer’s
name goes here as well as the person(s) for whom he/she
took the photographs.
I have read the foregoing and fully understand the contents hereof. I
represent that I am the [parent/guardian] of the above named model.
For value received, I hereby consent to the foregoing on his/her
behalf.
Dated: ____________
Signature of the minor (if able to sign) : __________________________________
Minor's Name: __________________________________
Signature of the parent or guardian: _______________________________
Name of the parent or guardian: __________________________________
Address: ______________________________________________________
City: __________________________________________
State/Zip: ______________________________________
Phone: ________________________________________
Witness: _______________________________________
NOTE: The Company makes no warranties or representations in connection with these releases. Consult your attorney if you have any legal questions regarding them.
Property Release
For valuable consideration herein acknowledged
as received, the undersigned being the legal owner of, or having the
right to permit the taking and use of photographs of certain property
designated as:
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
does grant to The Company,and to its agents and assigns, the full
rights to use such photographs and copyright same, in advertising,
trade, or for any purpose.
a) I also permit the use of any printed material in connection
therewith.
b) I hereby relinquish any right that I may have to examine or approve
the completed product or products or the advertising copy or printed
material that may be used in conjunction therewith or the use to which
it may be applied.
c) I hereby release, discharge and agree to save harmless
[photographer] 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
created 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.
d) 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: ______________
Signature:
____________________________________
Name: ________________________________________
Address: ______________________________________
City: _________________________________________
State/Zip: _____________________________________
Phone: _______________________________________
Witness: ______________________________________
Permission To Use Pictures
In consideration for value received, receipt
whereof is acknowledged, I hereby give The Company
the absolute right and permission to publish, copyright and use
pictures of me in which I may be included in whole or in part,
composite or retouched in character or form, in conjunction with
(initial those applicable):
_______my own name
_______a fictitious name
_______no name to be used
If the person photographed is under 18, I certify that I am his or her
parent or legal guardian and I give my consent without reservation to
the foregoing on his or her behalf.
Date: _____________________________________
Name: ____________________________________
Address: __________________________________
Phone: ____________________________________
Signature: __________________________________
NOTE: The Company makes no warranties or representations in connection with these releases. Consult your attorney if you have any legal questions regarding them.