MODEL & TALENT RELEASE AGREEMENT (PHOTO/VIDEO) ================================================================ Effective Date: ________________________________________________________ Place: _________________________________________________________________ ================================================================ 1. Parties ---------- This document is made on ____________________ (____________________) by: Model / Talent Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ In favor of: Producer / Photographer Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ 2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS ------------------------------------------- Shoot / Project Description: ___________________________________________ Date & Location: _______________________________________________________ Permitted Uses & Media: ________________________________________________ Territory & Duration: __________________________________________________ Compensation: __________________________________________________________ 3. EXECUTION & SIGNATURES ------------------------- Model / Talent Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________