STUDENT MEDIA RELEASE FORM In consideration of no compensation herein acknowledged as received, and by signing this release, I hereby give the Photographer/Filmmaker and Assigns my permission to license the Images and to use the Images in any Media for any purpose (except pornographic or defamatory) which may include, among others, advertising, promotion, marketing, and packaging for any product or service. I agree that the Images may be combined with other images, text, and graphics, and cropped, altered, or modified. I acknowledge and agree that I have consented to publication of model’s ethnicity(ies) as indicated below, but understand that other ethnicities may be associated with Images of the Model by the Photographer/Filmmaker and/or Assigns for descriptive purposes. I agree that I have no rights to the Images, and all rights to the Images belong to the Photographer/Filmmaker and Assigns. I acknowledge and agree that I have no further right to additional Consideration or accounting, and that I will make no further claim for any reason to Photographer/Filmmaker and/or Assigns. I acknowledge and agree that this release is binding upon my heirs and assigns. I agree that this release is irrevocable, worldwide, and perpetual, and will be governed by the laws of the state of Florida, excluding the law of conflicts. DEFINITIONS: “MODEL” means my minor child and includes his/her appearance, likeness, and form. “MEDIA” means all media including digital, electronic, print, television, film, and other media now known or to be invented. “PHOTOGRAPHER/FILMMAKER” means photographer, illustrator, filmmaker, or cinematographer, or any other person or entity photographing or recording me. “ASSIGNS” means a person or any company to whom Photographer/Filmmaker has assigned or licensed rights under this release as well as the licensees of any such person or company. “IMAGES” means all photographs, film, or recordings taken of Model as part of the Shoot. “CONSIDERATION” means something of value I have received in exchange for the rights granted by me in this release. “SHOOT” means the photographic or film session described in this form. “PARENT” means the parent and/or legal guardian of the Model. Parent and Model are referred to together as “we” or “us” in this release.
ORGANIZATION NAME ORG ADDRESS LINE 1 ORG ADDRESS LINE 2 ORG CITY, ORG STATE ORG ZIP ORG CONTACT PHONE email@example.com