Model Release Form

MODEL RELEASE FORM

This Model Release Form (the "Release") is made on ________ between ________, an individual of the following address:

________

AND

________, an individual, of the following address:

________

1. THE WORK

The Parties agree that the Publisher shall publish the photograph (the "Work") featuring the Model that the Publisher desires to publish. The Work to which this Release relates includes the following:

________

The Model consents to the use of the Model's image to produce and publish the Work.

2. USE OF WORK

The Publisher, their licensees, assignees, successors, and other authorized agents shall use the Work in the following manner (the "Purpose"):

________

The Publisher may not use the Work for any other purpose other than the Purpose described above.

3. CONSENT AND RELEASE

By signing this Release:

(I) the Model agrees that the entire copyright in relation to the Work belongs to the Publisher, and the Publisher shall have the exclusive perpetual right to use and publish the photograph of the Model and other derivative works for commercial gain, advertisement, or for such other purpose as the Publisher may determine.

(II) the Publisher or their authorized representatives, assignee, licensees, or other authorized persons may alter photograph of the Model and use it for whatever purpose.

(III) the Model acknowledges that the Publisher retains the absolute and exclusive right, interest, and title to the Work and any reproduction of the Work.

(IV) The Model consents to the use of the Model's name together with the Work.

(V) The Model consents to the use of other fictitious name together with the Work.

4. CONFIDENTIALITY OBLIGATIONS

The Parties acknowledge that by virtue of this Release, they may have access to non-public confidential information and may also possess Trade Secret Information regarding the operation of the other Party. Consequently, each Party agrees that such information is valuable and agrees to maintain the secret nature of such information. The Parties also acknowledge that depending on the circumstance, they may become the disclosing party or receiving party. In such terms, this confidential provisions shall be binding on the receiving party and enforceable by the disclosing party.

Confidential information includes all information or materials of whatever nature relating to the purpose disclosed by the Parties by sharing of any written material or by any oral or written statement whatsoever which includes but not limited to documents, techniques, practices, tools, specifications, inventions, patents, trademark, soft wares, drawings, programmes but shall not include the following information or data:

(I) which can be established by written records to be already known to the Receiving Party or the public at the time of the disclosure;

(II) which enters the public domain through no fault of the Receiving Party;

(III) is given by the Disclosing Party to third parties without any restrictions;

(IV) is given to the Receiving Party by any third party who is in possession of such information and has the legal right to disclose it; or

(V) that is required by law to be disclosed.

Trade secret information includes all formulas, pattern, designs, process, methods or other information that is not known or easily ascertainable to the general public.

The Parties hereby agree as follows:

(I) to take proper and reasonable measures to ensure the confidentiality of the confidential information under this Release;

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IN WITNESS whereof, the Parties have signed this Release in the day and year first mentioned above.

SIGNED SEALED AND DELIVERED by the Publisher

_______________________
________

in the presence of:

Name..................................................................................................................

Address..............................................................................................................

Occupation.........................................................................................................

Signature............................................................................................................

SIGNED SEALED AND DELIVERED by the Model

____________________
________

in the presence of:

Name..................................................................................................................

Address..............................................................................................................

Occupation.........................................................................................................

Signature............................................................................................................