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I hereby grant as follows:
I ("Model") irrevocably grant to Sharon P. Fibelkorn Chapman ("Photographer") and its licensees, successors, agents and assigns the right to use, publish and copyright my name, voice, picture, portrait and likeness in any and all media and for any use whatsoever, including without limitation, art, stock, advertising, trade and promotion, in perpetuity. I agree that all photographs of me are owned by the Photographer and he/she owns the copyright on all material created. If I should receive any print, negative or other copy thereof, I shall not authorize its use by anyone else.
I agree that no advertisement, product or other material need be submitted to me for any further approval and the Photographer its licensees, successors, agents and assigns shall be without liability to me for any distortion or illusionary effect or adverse result to me on account of the publication, distribution or broadcast of my picture, portrait or likeness. I consent to the use of my name or a fictitious name, and any print material in conjunction with the photograph
I release, discharge and agree to save harmless the Photographer and his/her licensees, successors, agents and assigns from any liability arising out of or in connection with the use of the photographs, including any and all claims for libel and or and invasion of privacy or publicity.
I hereby warrant that I am of full age and have every right to contract in my own name in the above regard. I state further that I have read the above authorization, release and agreement, prior to its execution, and that I am fully familiar with the contents thereof.
This release takes precedence over any release signed at the time of the job with exception of contracts and agency releases that contain the same information herein.
I understand that there is no guarantee or specific usage intended for these images.
It is mutually agreed that if the intended (conceptual) image becomes gallery represented and earns an income, that the Photographer will pay the Model ten percent (10%) of that income after expenses.
Model Exceptions or Notes
Should be Empty: