STANDARD MODEL RELEASE FORM
The undersigned enters into this Agreement with ______________________________________ ("Producer").
I have been informed and understand that Producer is producing a videotape program and that my name, likeness, image, voice,
appearance and/or performance is being recorded and made a part of that production ("Product").
1. I grant Producer and its designees the right to use my name, likeness, image, voice, appearance,
and performance as embodied in the Product whether recorded on or transferred to videotape, film, slides, photographs, audio
tapes, or other media, now known or later developed. This grant includes without limitation the right to edit, mix or duplicate
and to use or re-use the Product in whole or part as Producer may elect. Producer or its designee shall have complete ownership
of the Product in which I appear, including copyright interests, and I acknowledge that I have no interest or ownership in
the Product or its copyright.
2. I also grant Producer and its designees the right to broadcast, exhibit, market, sell and otherwise
distribute the Product, either in whole or in parts, and either alone or with other products, for commercial or non-commercial
television or theater, closed-circuit exhibition, home video distribution or any other purpose that Producer or its designees
in their sole discretion may determine. This grant includes the right to use the Product for promoting or publicizing any
of the uses.
3. I confirm that I have the right to enter into this Agreement, that I am not restricted by any
commitments to their parties, and that Producer has no financial commitment or obligations to me as a result of this Agreement.
I hereby give all clearances, copyright and otherwise, for use of my name likeness, image, voice, appearance and performance
embodied in the Product. I expressly release and indemnify Producer and its officers, employees, agents and designees from
any and all claims known and unknown arising out of or in any way connected with the above granted uses and representations.
The rights granted Producer herein are perpetual and worldwide.
4. In consideration of all the above, I hereby acknowledge receipt of reasonable and fair consideration
from the Producer.
I have read the foregoing and understand its terms and stipulations and agree to all of them:
Model's Name (Please Print) ______________________________________________
Signature of Model ___________________________________________ Date_______________________
(If the person signing is under age 18, a parent or legal guardian must sign below.)
I hereby certify that I am the parent or legal guardian of the model named above and I give my
consent without reservation to the foregoing on behalf of him or her.
Signature of Parent or Guardian ________________________________ Date __________________________
Other Forms:
Minor Release
Adult Model Release
Model Release Form
Contact Photographer:
Owen Geronimo
(415)332-6512
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ADULT RELEASE
In consideration of my engagement as a model, and for other good and valuable consideration
herein acknowledged as received, I hereby grant to ____________ ("Photographer"), his/her heirs, legal representatives and
assigns, those for whom Photographer is acting, and those acting with his/her authority, and permission, the irrevocable and
unrestricted right and permission to copyright, in his/her own name or otherwise, and use, re-use, publish, and re-publish
photographic portraits or pictures of me or in which I may be included, in whole or in part, or composite or distorted in
character or form, without restriction as to changes or alterations, in conjunction with my own or a fictitious name, or reproductions
thereof in color or otherwise, made through any medium at his/her studios or elsewhere, and in any and all media now or hereafter
known for illustration, promotion, art, editorial, advertising, trade, or any other purpose whatsoever. I also consent to
the use of any printed matter in conjunction therewith.
I hereby waive any right that I may have to inspect or approve the finished product
or products and the advertising copy or other matter that may be used in connection therewith or the use to which it may be
applied.
I hereby release, discharge and agree to save harmless Photographer, his/her heirs,
legal representatives and assigns, and all persons acting under his/her permission or authority or those for whom he/she is
acting, 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.
I hereby warrant that I am of full age and have the right to contract in my own name.
I have read the above authorization, release, and agreement, prior to its execution, and I am fully familiar with the contents
thereof. This release shall be binding upon me and my heirs, legal representatives, and assigns.
_______________________________________
______________________ __________________________________
DATE NAME
______________________ __________________________________
WITNESS ADDRESS
WEDDING PHOTOGRAPHY - Questionnaire
1) What is your name? (Client's Name):
____________________________________
2) How do I contact you?
Phone: ______________________________
Email: ______________________________
1) When is the Wedding (Date)?
_____________________________________
2) Where and When is it going to be held? (Location):
Church or Ceremony/ Time: ______________
Reception/Time: _______________________
3) Is the location(s) indoor or outdoor? or Both?
_____________________________________
4) How many attendees are you expecting?
_____________________________________
5) What type of films are needed?
Colored: _____________________________
Black & White:________________________
or Both? _____________________________
6) Do you need digital images?___________
7) Do you need a videographer? __________
8) Is there a wedding theme or motiff? _____
If yes, what is it? ______________________
9) Any special instructions:
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
10) How much is your budget for this project?
_____________________________________
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