Model Release form From The Fish Stewarding Group

For Consideration herein acknowledged as received, and by signing this release I hereby give the Photographer / Filmmaker and Assigns my permission to license the Content and to use the Content in any Media for any purpose (except pornographic or defamatory) which may include, among others, advertising, promotion, marketing and packaging for any product or service.

I agree that the Content may be combined with other images, text, graphics, film, audio, audio-visual works; and may be cropped, altered or modified.

I acknowledge and agree that I have consented to publication of my ethnicity(ies) and gender as indicated below, but understand that other ethnicities or gender may be associated with me by the Photographer/Filmmaker and/or Assigns for descriptive purposes.

I agree that I have no rights to the Content, and all rights to the Content 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 laws (excluding the law of conflicts) of the country/state from the following list that is nearest to the address of the Model (or Parent*) given opposite: New York, Alberta, England, Australia and New Zealand.

It is agreed that my personal information will not be made publicly available but may only be used directly in relation to the licensing of the Content where necessary (e.g. to defend claims, protect rights or notify trade unions) and may be retained as long as necessary to fulfill this purpose, including by being shared with sub-licensees/assignees of the Photographer/Filmmaker and transferred to countries with differing data protection and privacy laws where it may be stored, accessed and used.

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

Definitions:

“ASSIGNS” means a person or any company to whom Photographer/Filmmaker has assigned or licensed rights under this release as well as the licensees of any such person or company.

“CONSIDERATION” means $1 or something else of value I have received in exchange for the rights granted by me in this release.

“CONTENT” means all photographs, film, audio, or other recording, still or moving, taken of me as part of the Shoot.

“MEDIA” means all media including digital, electronic, print, television, film, radio and other media now known or to be invented.

“MODEL” means me and includes my appearance, likeness and voice.

“PARENT” means the parent and/or legal guardian of the Model. Parent and Model are referred to together as “I” and “me” in this release, as the context dictates.

“PHOTOGRAPHER/FILMMAKER” means photographer, illustrator, filmmaker or cinematographer, or any other person or entity photographing or recording me.

“SHOOT” means the photographic, film or recording session described in this form.


Photographer/Filmmaker Information

Name (print) __________________________________________________

Signature _____________________________________________________

Date Signed (DD/MM/YEAR) __________________________________

Shoot Date Shoot Country & Region/State Shoot Description/Ref. (if applicable) ______________

Model Information

Name (print) __________________________________________________

Date of Birth (DD/MM/YEAR) __________________________________

Gender [  ] male [  ] female or [  ] I identify as _____________________

Model (or Parent*) Information

Residence Address ___________________________________________________________________

City State/Province ______________________________________

Country Zip/Postal Code _________________________________

Phone____________________________________________________

Email _____________________________________________________

Signature ________________________________________________

Date Signed (DD/MM/YEAR) ______________________________

*If Model is a minor or lacks capacity in the jurisdiction of residence, Parent warrants and represents that Parent is the legal guardian of Model, and has the full legal capacity to consent to the Shoot and to execute this release OF ALL RIGHTS IN MODEL’S CONTENT. If you are a parent signing in this capacity, please enter your details above and your name below.

Parent Name: ____________________________________________ if applicable

Attach Visual Reference of Model:

(Aligned to top right-hand corner (refer to Getty PDF Download.)

For example, Polaroid, driver’s license, print, photocopy, etc.

Additional information to be completed by Model: (Optional)

Ethnicity information is requested for descriptive purposes only, and serves as a means of providing more accuracy in assigning search words.

___ Asian – circle all that applies to you: (  Chinese,  Indian,  Japanese,  Korean,  other)
___ Caucasian, White
___Hispanic, Latin
___Middle Eastern
___Native American
___Pacific Islander
___Black
___Mixed Race
___African American

Other: ___________________

Witness to Model’s signature

(NOTE: All persons signing and witnessing must be of legal age and capacity in the area in which this Release is signed. A model or photographer cannot witness one’s own release. A witness signature is strongly recommended.)

Name (print) ____________________________________

Signature _________________________________________

Date Signed (DD/MM/YEAR).  _______________________

(Model Release – English –June 2015 Getty)

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Fish Stewarding Group is stewarding strategic solutions by only building authoritative businesses with authentically sound people.
The FSG branches include
FSG Development  and FSG Living.
The FSG divisions include  FSG Messaging and Optics, FSG Living Villages, FSG Living Homes, FSG Living Buildings, FSG Living Panels, FSG Living Roads, FSG Realty, FSG Publishing, FSG ELC, as well as FSG Africa
and the Librating Water Directive.
FSG is bearing the weight of messaging, strategy, finance and development by coming along side.
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Fish Stewarding Group * FSG Development * FSG Living
6586 East Interstate 20
Abilene, Texas
79601-7640
United States of America
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Fish Stewarding Group Phone Number:
325-400-6950
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Fish Stewarding Group Email:
moreinfo@fishstewarding.com
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Fish Stewarding Group Website
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© 2023 Fish Stewarding Group/ FSG Development/ FSG Living.
All Rights Reserved ® ℗
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A thin rectangular Footer graphic for the Model Release page. The background is a blue gradient color that goes from a dark blue on the bottom to a lighter blue on top. The text in gray on top reads Model Release. The text in gray on the bottom center reads: Fish Stewarding Group and beneath that, the text reads Messaging, Strategy, Finance and Development. In the center above the text is the FSG logo in gray. The logo has the letters FSG in the middle with a circle with four pointed arrows facing north, south, east and west with the S connected to that circle. Four rounded lines make the next circle of the circle and the last layer is a thin circle with the text on the Bottom that reads Stewarding Strategist Solutions and on top, the text reads Fish Stewarding Group.

Model Release Form