BIGSTOCK Model Release for ADULT Model Information
350 Fifth Avenue, 21st Floor New York, NY 10018, USA p 855.272.5125 f 212.242.3734 b i g s t o c k .c o m
BIGSTOCK Model Release for ADULT
For good and valuable consideration, the receipt and legal su ciency of which is hereby acknowledged, I ________________________________________________ ("Model") hereby grant to ____________________________________________ and SS SPV LLC d/b/a BIGSTOCK (collectively, the "Photographer"), the Photographer's assigns, and those persons acting with the Photographer's authority and permission, the right to take and create photographs/videos and other still and/or moving images (in all formats) and other graphical depictions incorporating my likeness, in any and all media, whether now known or hereafter created (the "Content").
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.
The Photographer's 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.
I hereby release, discharge, and agree to hold harmless the Photographer, the Photographer's heirs, legal representatives and assigns, and all persons acting under the Photographer's authority or those for whom he/she is acting, from any liability by virtue of any use of the Content or any changes or alterations made thereto.
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.
Model Information:
Name (Print): ________________________________________________ Address: ___________________________________________________ City: __________________________ State: ________________________ Country: _________________________ Zip/Postal Code: ____________ Phone: __________________ Email: ______________________________ Date of Birth: ________________________________________________ Signature: ____________________________________________________ Date: ________________________________________________________ Description of Scene: __________________________________________ _____________________________________________________________
Model Ethnicity (Optional):
___ Asian ___ Black ___ European ___ Middle Eastern ___ Paci c Islander
___ African-American ___ Caucasian (White) ___ Hispanic (Latin) ___ Native American ___ Mixed Race
___ Other: ______________________________________________
Visual Reference
(Optional headshot or other reference may be included here. Nude imagery requires a driver license)
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. 1/201 4
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