Photo Release
SENDING PHOTOS
Please e-mail photos for the website to info@communityseeds.com
By Sending a Photo to Community Seeds, or its affiliates, you accept all terms of the photo release form below and release Community Seeds and its affiliates from any liablilty.
Photo Release Form:
Agreement and Authorization for Model to be in Media
This Model Release (the “Agreement”) is made this __________ day of _____________, 20___.
BETWEEN:
Community Seeds, The Chico Connection, The Durham Connection, The Paradise Connection of 1785 Garden Road Durham, California (the “Artist”).
-AND-
_______________________________________________________ of California (the “Model”)
BACKGROUND:
The Artist may choose or is currently engaged in the business of creating media, which includes but is not limited to engaging in the following activities for personal and commercial gain: filming, film/video production; photography, photo editing, and photo production; digital photography, digital photo editing, and digital photo production; document production and editing; sound recordings; sound manipulation and music productions; television production; magazine publishing and distribution; web design and production; and writing. The Model consents to being a subject of the Artist in media. The Model will allow the Artist to capture images for use in media.
WHEREBY:
THE ARTIST IS RELEASED OF LIABILITY: For good and valuable consideration herein acknowledged as received, the Model releases the Artist and assigns permission to license all images and sound recordings and to use of images and sound recordings in any media for any purpose which may include, among others, advertising, promotion, marketing and packaging for any product or service. The Model agrees that any images and sound recordings may be combined with other images, text and graphics, cropped, altered and modified. The Model agrees that the Artist has no duty to show the Model any material prior to using or distributing the material in any form.
I hereby grant Community Seeds, and its affiliates, permission to use my likeness in a photograph in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become the property of Community Seeds, and its affiliates, and will not be returned. I hereby irrevocably authorize Community Seeds, and its affiliates, to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing Community Seeds and/or its affiliates, and for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph.
I hereby hold harmless and release and forever discharge Community Seeds and its affiliates from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I am 21 years of age and am competent to contract in my own name. I have read this release
before signing below and I fully understand the contents, meaning, and impact of this release.
______________________________________________ _______________________________
(Signature) (Date)
______________________________________________________ ____________________________________
(Printed Name) (Date)
If the person signing is under age 21, there must be consent by a parent or guardian, as follows:
I hereby certify that I am the parent or guardian of _________________________, named above,
and do hereby give my consent without reservation to the foregoing on behalf of this person.
___________________________________________________ ________________________
(Parent/Guardian’s Signature) (Date)
(Parent/Guardian’s Printed Name)_________________________________________________________________