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SCI Release

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Model Release

For good and valuable consideration herein acknowledged as received, and by signing this release I hereby give the Photographer/ Filmmaker and Assigns my permission to license the Images and to use the Images in any Media for any purpose which may include, among others, advertising, promotion, marketing and packaging for any product or service. I agree that the Images may be combined with other images, text and graphics, and cropped, altered or modified.

I agree that I have no rights to the Images, and all rights to the Images belong to the Photographer/Filmmaker and assigns. 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/Filmmaker and/or Assigns. 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 local laws of the location of the actions and in the United States.

I represent and warrant that I am at least 18 years of age and have the full legal capacity to execute this release.

Model Information


Name (print) ___________________________________________________

Address _______________________________________________________

City _________________________________ State/Province _____________

Zip/Postal Code _____________Country _____________________________

Phone _______________________ Email _____________________________

Date of Birth (DD/MM/YYYY)___________________________________________

Signature _____________________________ Date _____________________

Photographer/Filmmaker Information


Name (print) ____________________________________________________

Address _______________________________________________________

City _________________________________ State/Province _____________

Country _____________________________ Zip/Postal Code _____________

Shoot Date ___________ Shoot Description/Reference ______________________________________

Signature ________________________________