релиз модели для взрослых на шаттерсток на английском

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SHUTTERSTOCK, INC.
Model Release for ADULT
For good and valuable consideration, the r eceipt and
legal suf ciency of which is her eby acknowledged,
I ________________________________________________ (“Model”)
her eby grant to ____________________________________________
and SHUTTERSTOCK, INC. (collectively , the “Photographer”),
the Photographer’ s assigns, and those persons acting with the
Photographer’ s authority and permission, the right to take and cr eate
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 her eafter created (the “Content”).
I her eby agr ee that all rights in and to the Content, including the copyright,
ar e and shall r emain the sole pr operty of the Photographer , free and clear
fr om any claims by me or anyone acting on my behalf.
The Photographer’ s rights include, but ar e not limited to, the rights,
in perpetuity , to:
Use, r e-use, publish, and r e-publish the Content; Alter , modify or otherwise
change the Content in any manner the Photographer desir es; Combine the
Content with textual matter and/or with other pictur es and/or media; and,
Use the Content for illustration, pr omotion, art, editorial, adver tising, trade,
publishing, or any other purpose whatsoever .
I her eby r elease, dischar ge, 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, fr om any liability by vir tue of any use of the Content or any changes
or alterations made ther eto.
I her eby warrant that I am of full legal age and have the right to contract i
n
my own name. I have r ead the above authorization, r elease and agreement,
prior to its execution, and I am fully familiar with the contents ther eof. This
r elease shall be binding upon me and my heirs, legal r epresentatives and
assigns.
Photographer Information:
Name (Print): ____________________________________________________
Addr ess: ________________________________________________________
City: ________________________________ State: _____________________
Country: ___________________________ Zip/Postal Code: _____________
Phone: _______________________ Email: ____________________________
Date of Shoot: ________________________ Medium: Still
V ideo
Signatur e: _____________________________________________________
350 5th Avenue . 21st Floor . N ew York . N ew Y o rk 10118
866. 663. 3954 (p)
347 . 402. 0710 (f) www .Shu tte rs tock.com
Model Information:
Name (Print): ________________________________________________
Addr ess: ___________________________________________________
City: __________________________ State: ________________________
Country: _________________________ Zip/Postal Code: ____________
Phone: __________________ Email: ______________________________
Date of Bir th: ________________________________________________
Signatur e: ____________________________________________________
Date: ________________________________________________________
Description of Scene: __________________________________________
_____________________________________________________________
Model Ethnicity (Optional):
___ Asian ___ African-American
___ Black ___ Caucasian (White)
___ Eur opean ___ Hispanic (Latin)
___ Middle Eastern ___ Native American
___ Pacic Islander ___ Mixed Race
___ Other: ______________________________________________
Visual Refer ence
(Optional headshot or other r eference may be included her e.
Nude imagery r equires a driver license)
Witness:
Name (Print): _________________________________________________
Signatur e: ___________________________________________________
Date: ______________________________________________________
Rev . 10/2012
X