MODEL RELEASE AND AGREEMENT
Whereas for valuable consideration hereby acknowledged as received, the Model granted the Photographer permission to photograph and/or film and sound record the Model and furthermore grant permission to use the resulting work ("the Work") according to the terms stated hereunder:
Any permission granted to the Photographer shall extend to his/her successors, legal representatives, licensees and assigns and shall be irrevocable and perpetual without any further or additional claim for compensation by the Model.
Use of the Work shall be unrestricted as to location, quantity or frequency, may be for any purpose and in any medium whatsoever, whether foreseen or unforeseen at this time, except where such use is in contravention of the law.
Permission is specifically granted for the Work to be edited, altered, distorted, used in whole or in part, in conjunction with other images, graphics, text and sound in any way whatsoever and without restrictions by the Photographer. Editing the Work by anyone other than the Photographer is restricted before and after completion of the Work. If editing is done by anyone other than the Photographer, a fine of $150 per photo will be issued.
Permission herein granted is absolute and final and shall not be subject to further inspection or approval by the Model at any stage in the use of the Work.
Use of the Work may be in conjunction with the Model's own or fictitious names.
The Photographer shall own all rights in the Work which shall accrue to the benefit of his/her successors, legal
representatives and assigns.
The Model warrants having read and understood this Model Release Agreement and warrants being of full legal age to enter into an agreement.
With full knowledge of the above, the Model hereby releases and shall hold harmless the Photographer and his/her successors, legal representatives, licensees and assigns from all claims or damages including but not limited to defamation or violation of right of privacy or publicity, resulting from or associated with the use of the Work.
The Model agrees that the provisions contained herein shall be binding upon the Model and his/her successors, legal representatives and assigns.
This Agreement shall be construed, interpreted and governed in accordance with the laws of the State of Connecticut and should any provision of this Agreement be judged by an appropriate court as invalid, it shall not affect any of the remaining provisions whatsoever.
The parties agree that any or all parts of this agreement may be submitted to the other party in legible and recordable electronic form and upon acknowledgement of receipt by the receiving party shall become valid parts of the agreement.
The Photographer hereby agrees to let the Model use their Works in printed form, but the Model agrees not to sell the works for profit, and will give full credit to the Photographer if printed work is published in, included but not limited to, magazines, newspapers, or online publications. If work is published without the Photographer's credit, a fine of $500 per photo will be issued.
By submitting this form you agree to the above contract. Any misconduct involving the above after signing can result in legal action or fines.
*Personal edit for Emily Geary: "The Model" under this circumstance envelopes the entire family. Signed by Emily Geary on the behalf of the group.