Model Release | Hues Video Production

Name *

First

Last

Age *

Date *

Email *

Phone Number

Parent or Guardian Name - Please put N/A if not needed *

First

Last

Parent or Guardian Email - Please copy above Email if not needed *

Phone Number

Comment or Message

Model Release *

I have read the foregoing release, authorization and agreement, I fully understand the contents thereof.

Model Release

For and in consideration of my engagement as a model by HUES VIDEO PRODUCTION hereafter
referred to as the videographer, on terms or fee hereinafter stated, I hereby give the videographer, his legal representatives and assigns, those for whom the videographer is acting, and those acting with his permission, or his employees, the right and permission to copyright and/or use, reuse and/or broadcast and republish digital recordings/ photographs of me, or in which I may be distorted in character, or form, in conjunction with my own or a fictitious name, on reproductions thereof in color, or black and white made through any media by the videographer at his studio or elsewhere, for any purpose whatsoever, including the use of any printed matter in conjunction herewith. I hereby waive any right to inspect or approve the finished video / photograph, sound track, or advertising copy or printed matter that may be used in conjunction therewith or the eventual use that it might be applied. I hereby release, discharge and agree to save harmless the videographer, his representatives, assigns, employees or any person or persons, corporation or corporations, acting under his permission or authority, or any person, persons, corporation or corporations, for whom he might be acting, including any firm publishing and/or distributing the finished product, in whole or in part, from and against any liability as a result of any distortion, blurring, or alteration, optical illusion, or use in any composite form, either intentionally or otherwise, that may occur or be produced in the taking, processing or reproduction of the finished product, its publication, distribution, or broadcast of the same, even should the same subject me to ridicule, scandal, reproach, scorn or indignity.
I hereby certify that I am (over/under) twenty-one years of age, and competent to contract in my own name in so far as the above is concerned.
I am compensated as follows: $0 monetarily, no gifts or anything of value.
I have read the foregoing release, authorization and agreement, before affixing my signature below, and warrant that I fully understand the contents thereof.

Dated _____________________________
or filled on Contractor web site under “Model Release”.

Name (Legal Signature)

__________________________________________________
or filled on Contractor web site under “Model Release”.

Email ____________________________________
or filled on Contractor web site under “Model Release”.

For use if Model is a minor:
I hereby certify that I am the parent and/or guardian of ____________________________, or filled on Contractor web site under “Model Release” an infant
Under the age of twenty-one years, and in consideration of value received, the receipt of which is hereby acknowledged, I hereby consent that any videotapes/ digital content which have been, or are about to be made by the videographer, may be used by him for the purposes set forth in original release herein above, signed by
the infant model, with the same for and effect as if executed by me.

__________________________________________
Parent or Guardian (Legal Signature) or filled on Contractor web site under “Model Release”.

Email ____________________________________
or filled on Contractor web site under “Model Release”.