Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
30
866.663.3954(p)
SHUTTERSTOCK, INC.
Model Release for ADULT
th
Floor
347 .402.0710(f)
Model Information:
I hereby agree that all rights in and to the Content, including the copyright,
are and shall remain the sole property of the Photographer, free and clear
from any claims by me or anyone acting on my behalf.
Date: ________________________________________________________
Address: ___________________________________________________
City: __________________________ State: ________________________
Country: _________________________ Zip/Postal Code: ____________
Phone: __________________ Email: ______________________________
Date of Birth: ________________________________________________
Signature: ____________________________________________________
The Photographers rights include, but are not limited to, the rights,
in perpetuity, to:
Use, re-use, publish, and re-publish the Content; Alter, modify or otherwise
change the Content in any manner the Photographer desires; Combine the
Content with textual matter and/or with other pictures and/or media; and,
Use the Content for illustration, promotion, art, editorial, advertising, trade,
publishing, or any other purpose whatsoever.
___ African-American
___ Black
___ European
I hereby warrant that I am of full legal 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.
Visual Reference
Photographer Information:
Name (Print): ____________________________________________________
Address: ________________________________________________________
City: ________________________________ State: _____________________
Country: ___________________________ Zip/Postal Code: _____________
Phone: _______________________ Email: ____________________________
Date of Shoot: ________________________ Medium:
Still
Video
Signature: _____________________________________________________
Witness:
Name (Print): _________________________________________________
Signature: ___________________________________________________
Date: ______________________________________________________
Rev. 10/2012