Model Agreement and Release

 

C I Corporation - Chic Icons division
1629 K Street NW, Suite 310  PO Box 71112    Washington, DC  20006
202-829-4444    Fax: 877-727-9070

This is an agreement and release of photographic and video productions between C I Corporation, and model _____________________________________.

For good and valuable consideration of ____________________, the undersigned Model (“I”) hereby grant the undersigned Photographer (“Photographer”) permission to photograph me and use my photographs.  The images will be culturally acceptable, maintain my dignity, and used for advertising and educational purposes only.

I further give my consent to Photographer, ChicIcons, and direct or indirect licensees and assignees to publish, republish or otherwise transmit the images of myself in any medium, including web sites.  I reserve the right to request where my image has been published, and demand removal without litigation. Photographer agrees to provide a list upon request.

For practical reasons, Photographer may need to alter the brightness, contrast, or crop the images.  To save time, I hereby agree that he has my permission to modify the finished product that may be used in connection with an image that the Photographer has taken of me.

I further release the Photographer and his/her direct or indirect licensees and assignees, from any claims for further remuneration associated with any form of damage, foreseen or unforeseen, associated with the use of the images. I agree that the law of Washington, DC will apply to this release.  I am 18 years of age or older, and have the full legal capacity to authorize this.

Model

Signature: ________________________________

Print Name: ________________________________

Date: ______________________

Address: ______________________

Phone: ______________________

Photographer

Signature: _
_______________________________

Print Name: __Rick Shaddock____

Date: ______________________

Description of Shoot: