Fine Art / Physique Model Release 

I, (Legal name,) ___________________ give irrevocable consent to the use of my image, as created by   __________________taken in ___________, on _________ (Place & Date)

This consent establishes the release and unconditional use of all images, in whole or in part, in original or modified form, alone or in combination with other photographs, sketches, visual effects, artwork and/or textual matter, whether factual or fictional and whether used in conjunction with my real or other fictitious name, as specified within.  At the sole discretion of the Photographer,  this consent shall also extend to any publishers, printers,  clients, agents, licensees or assignees specifically chosen and authorized by him, which make use of my image.

 

 

1

My image may be reproduced for art and portfolio presentation, in photographic and/or electronic formats, in galleries, museums, web sites, fine art books/magazines and all other non-commercial uses unless specified herein.. This release   does   does not include the commercial addendum.

2

My image may be used in the advertising and/or publicity for the work of the Photographer.

3

will      will not

allow nude, physique–oriented images that may include full–length exposure, but  may or may not include frontal exposure, as specified in Paragraphs 4 and 5.

4

will      will not

allow “Frontal Nudes,”  in which my genitals appear in the final image. 

5

will      will not

allow “Altered Frontal Nudes”  in which my genitals are shadowed or hidden from view in a post–development process, and do not show in the final image.

6

I understand that I may exercise control over image content at the time of the Session, but that they become the property of the Photographer once created, and may be used by him, as agreed herein.

7

Images provided to me from the Photographer may be used by me in the course of my self-promotion; these images may not be used for commercial purposes in which I receive payment for their use.

8

My consent may be extended to commercial uses of my image, with the attachment of a Commercial Release, which shall make no other changes to the terms of this Release, except as noted in paragraph 9.

9

Other terms:                                                                                                                                          

10

The total compensation to be rendered to me in exchange for my time and services as detailed herein, as well as for the irrevocable and exclusive right to the images of me, as detailed herein, shall be as follows:

 

A  Images in the form of ____   Ultrachrome prints, sized ____ X ____.

 

B  Money in the amount of $______  to be paid on or before  __________.

  I have received payment, as indicated above:  Signed: ____________________   Date: _________.

 

Model

 

Photographer

Name

 

Name

 

Address

 

Address

 

City / State / Zip

 

City / State / Zip

 

Driver's License

 

State

Business Name

 

Birthday

 

Age

Website

 

e-Mail

 

e-Mail

 

Phone

 

Phone

 

Signature/Date

 

Signature/Date