The X-Factor Reference Fashion Manual

In consideration of my engagement as a model, upon the terms herewith stated, I hereby give to photographer’s name goes here his/her heirs, legal representatives and assigns, those for whom photographer’s name goes here 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 [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:_____________________________________

Address:____________________________________

City:_______________________________________

State/Zip:____________________________________

Phone:______________________________________

Witness:_____________________________________

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 photographer’s name goes here his/her agents or 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: _______________________________________

Name:________________________________________

Address:______________________________________

City:_________________________________________

State/Zip:_____________________________________

Phone:_______________________________________

Witness:______________________________________

In consideration for value received, receipt whereof is acknowledged, I hereby give photographer’s name goes here 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:__________________________________

CONSENT TO PHOTOGRAPH
Photo/Video Release Authorization

 
 
I, _________________ of _________________ _________________, _________________ _________________ (Hereinafter "Subject"), for good and valuable consideration, hereby give permission to modAgency.net of 537 Jones Street # 3151 San Francisco, California 94102 (Hereinafter "modAgency.net") and/or parties designated by modAgency.net to photograph myself and use such photographs in all forms of media, for any and all promotional purposes including advertising, publicity, display, audiovisual, exhibition, commercial or editorial use.
 
I understand that the term "photograph" as used herein encompasses both still photographs, audio recording and motion picture footage.
 
I further consent to the reproduction and/or authorization by modAgency.net to reproduce and use such photographs for use in all domestic and foreign markets.
 
I hereby release modAgency.net and any of its associates, affiliates, appointed advertising agencies and designated directors, officers, agents, employees and customers from any claims.
 
ADDITIONAL PROVISIONS
In signing this agreement, as a client, you are compensating modAgency.net and its representative delivering the service to be rendered prior to commencing the project on the scheduled appointment. The check will be due before we perform the service that is ordered.

Make check payable to: _______________________________

In the amount of: _______________________________
 
 
DATED:    ______________,_______,________.
PRINT:    _______________________________________
SIGNATURE:     _______________________________________
ADDRESS:    _________________ _________________, _________________ _________________