TALENT AND MODEL RELEASE
[Name of the Production Company]
[Address]
I, [Name], undersign to this Release, in consideration of the sum of AUS $ [Amount] and any other good and valuable considerations, receipt of which is hereby acknowledged by me, being of legal age of [Age], hereby give [Name of the Production Company], their licensees, successors, legal representatives, and assigns the absolute and irrevocable right and permission to use my name and to use, reproduce, edit, exhibit, project, display, copyright, publish and/or resell photography images and/or moving pictures and/or videotaped images of me with or without my voice, or in which I may be included in whole or in part, photographed, taped, videotaped, and/or recorded on [Date] and thereafter, and to circulate the same in all forms and media for art, advertising, trade, competition of every description and/or any other lawful purpose whatsoever. I also consent to the use of any printed matter in conjunction therewith.
I hereby waive any right that I may have to inspect and/or approve the finished product or products or the editorial, advertising, or printed copy or soundtrack that may be used in connection therewith and any right that I may have to control the use to which said product, products, copy and/or soundtrack may be applied.
I hereby release, discharge and agree to save [Name of the Production Company], their licensees, successors, legal representatives and assigns from any liability by virtue of any blurring, distortion, alteration, optical illusion or use in composite form. This Release shall be governed as per the laws of [State], Australia.
AGREED AND ACCEPTED this [day] of [month], [Year]
[Talent/Model signature with printed name below]
[street address]
[city, state, zip]
[ac/phone number]
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