For Consideration herein acknowledged as received, and by signing this release I hereby give the Photographer / Artist my permission to license the Content and to use the Content in anyMedia for any purpose (except pornographic or defamatory) which mayinclude, among others, advertising, promotion, marketing and packaging for any product or service. I agree that the Content may be combined with other images, text, graphics, film, audio, audio-visual works; and may be cropped, altered or modified. I acknowledge and agree that I have consented to publication of my ethnicity(ies) as indicated below,
but understand that other ethnicities may be associated with me by the Photographer / Filmmaker for descriptive purposes.
I agree that I have no rights to the Content, and all rights to the Content belong to the Photographer /Artist. I acknowledge and agree that I have no further right to additional consideration or accounting, and that I will make no further claim for any reason to Photographer / Artist. I acknowledge and agree that this release is binding upon my heirs and assigns.
I agree that this release is irrevocable, worldwide and perpetual, and will be governed by the laws (excluding the law of conflicts) of the country/state from the following list that is nearest to the address of the Model given opposite: New York, Canada, England, Australia and New Zealand. It is agreed that my personal information will not be made publicly available but may only be used directly in relation to the licensing of the Content where necessary (e.g. to defend claims, protect rights or notify trade unions) and may be retained as long as necessary to fulfil this purpose, including by being shared with sub-licensees / assignees of the Photographer / Filmmaker and transferred to countries with differing data protection and privacy laws where it may be stored, accessed and used. I represent and warrant that I am at least 18 years of age and have the full legal capacity to execute this release.
“CONSIDERATION” means $1 or something else of value I have received in exchange for the rights granted by me in this release. “CONTENT” means all photographs, drawings, film, audio, or other recording, still or moving, taken of me as part of the Shoot. “MEDIA” means all media including digital, electronic, print, paper, television, film, radio and other media now
known or to be invented. “MODEL” means me and includes my appearance, likeness and voice. “PHOTOGRAPHER
/ARTIST” means photographer, artist, illustrator, filmmaker or cinematographer, or any other person or entity photographing, drawing, or recording me. “SHOOT” means the photographic, film or recording session described in this form.
Name (print) __MARIANNE L GOLDIN__/ MARIANNELGOLDIN.COM_______
Date signed (DD/MM/YEAR) _______________________________________
Shoot Country & Region/State __ ______________________
Shoot Description/Ref. ________CS PORTRAIT PROJECT__________________
Name (print) _____________________________________________________
Date of Birth (DD/MM/YEAR) ___________________________________________
Gender: male / female
Residence Address _______________________________________________
City __________________________________ State/Province _____________
Country _____________________________ Zip/Postal Code _____________
Phone _______________________ Email _____________________________
Date signed (DD/MM/YEAR) ___________________________________________