Model Release - Michel P. Poulin - Photographer

Model Release

A Model Release is required when a photographer wishes to use images from a photo session for advertising, marketing, or sale.

The contract does two things:

Outlines what uses are appropriate, and inappropriate per the wishes of the model or their legal representative.

And States how the model will be remunerated for their efforts and time.

Such a release is REQUIRED for any “Time for Prints” session.


A Paper copy of the release will be provided at time of shoot for went ink signature. 

This Model Release Form relates to the use of personal media and images utilized for an artistic or commercial endeavor by and between the following parties:

Michel P. Poulin, a photographer, with an address at the following:

6338 Red Oak Drive Avon, Indiana 46123

and

________________________________ ("Model"), with an address at the following:

Street:

City/State:

Zip:

E-mail:

Date of Birth:

I, ________________________________("Model"), for good and valuable consideration of:

o A single payment of $____

o A perpetual royalty, from net profits derived from this photo shoot, of __% not to exceed $___

o Time for Prints whereas a credit of $___ will be provided to model for the purchase of images on the photographers website – poulinphoto.com. The credit does not include shipping and handling. There is no cash value to the credit, and any unused portion cannot be redeemed for cash.

o Time for Prints whereas all prints from the session will be at cost to model for the purchase of images on the photographers website – poulinphoto.com. There is no cash value to the credit.

, the receipt of which is hereby acknowledged, hereby absolutely and irrevocably authorize Michel P. Poulin as well as their legal representatives, assignees, and transferees to use, publish, reuse, republish, distribute, disseminate or otherwise make publicly available for any artistic or commercial use, including advertising, publication, or illustration images of me and/or my property, of the following description:

Photo Shoot having taken place at:

Shoot-ID:________

taken on ________(“Date”), in whole or in part, whether individually or collectively with any other material, in any and all forms of media now or hereinafter known and/or developed, including, but not limited to, in print media, in digital media, on the Internet, in composite images, or distorted images or for any other lawful use as may be determined by Michel P. Poulin in their sole and exclusive discretion, including the use of my name without restriction.

I further completely release and discharge Michel P. Poulin from any and all demands or claims that may arise out of or otherwise be connected with the use of the photographs featuring me, my image or my property, including, without limitation, and any all claims for the violation of a right of publicity, a right of privacy, or libel. I also waive any and all rights to approve or otherwise review any uses of the photographs featuring me, my image or my property.

This authorization and release shall inure to the benefit of the legal representatives, licensees, heirs and assignees of Michel P. Poulin and shall also be binding upon me, my heirs, assignees, and legal representatives.

For models over the age of 18 at time of shoot ONLY:

____ I specifically acknowledge and agree that the nature of the work may include full or partial nudity. I hereby consent and agree to appear fully or partially nude in the work.


For all models:

Notwithstanding the above, the following uses are specifically excluded: (State limitations of use. These may include: non-acceptable commercial use - Cigarette sales, Locational restrictions - USA and Canada Only, etc. Please be specific:)






For models over the age of 18 at time of signing:

I am a legally competent adult of full legal age and have the right to contract in my own name. I have read this document thoroughly and understand the entirety of its contents in full.


For Parent / Legal Guardian of minor:

I am the parent or legal guardian of the Model and am a legally competent adult of full legal age. I have read this document thoroughly and understand the entirety of its contents in full.


For all:

Model/Parent/Guardian specifically agrees that this Model Release shall be governed and interpreted in accordance with the laws of the state of Indiana and should any provision of this Model Release be judged by an appropriate court of competent jurisdiction as invalid, it shall not affect any of the remaining provisions in any way, to the extent possible.

EXECUTION:

Model Signature: _________________________________Date: ___________________________

Parent or Legal Guardian (of minor model) Name: ______________________________

Parent or Legal Guardian

Signature:____________________________________Date:______________________

NOTE: This Release supersedes any prior release for specific shoot indicated.

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