Photographer Information
Adult Model Release Form
I agree to allow Narin Pen Photography to take Name:
photographs of me for the purposes of the Shoot.
Signature:
By signing this release, I give Narin Pen
Photography my permission to licence the Images Date Signed:
and negatives to third parties and to use the
Images in any Media for any purpose (except Shoot Date:
pornographic or defamatory) which may include,
but is not limited to, advertising materials, Shoot Description:
marketing materials, and associated web sites
without first obtaining my consent. I agree that the
Images may be combined with other images, text
and graphics, and cropped, altered or modified.
Model Information (print)
I agree that I have no rights to the Images or
negatives, and all rights to the Images and
Model Name:
negatives belong to Narin Pen Photography. I
acknowledge and agree that I have no further right
Model DOB:
to any compensation or royalties or accounting,
and that I will make no further claim for any
Address:
reason to Narin Pen Photography or parties to
which it licences the Images. I acknowledge and
agree that this release is binding upon my heirs
and assigns. I agree that this release is irrevocable,
Model signature:
worldwide and perpetual, and will be governed by
the laws of VIC, Australia.
Date:
I represent and warrant that I am at least 18 years
of age and have the full legal capacity to execute Witness
this release. (NOTE: All persons signing and witnessing must be
of legal age and capacity in the area in which this
Release is signed. A person cannot witness their
Definitions own release)
“Model” means me and includes my appearance,
likeness and form. “Media” means all media Name:
including digital, electronic, print, television, film
and other media now known or to be invented. Signature:
“Images” means all photographs, film or recording
taken of me as part of the Shoot. “Shoot” means Date signed:
the photographic or film session described in this
form.