MODEL RELEASE FORM
(Alberta)
This Model Release Form relates to the use of personal media and images utilized for an artistic or commercial endeavour between the following parties:
________, a photographer, with an address at the following:
________
and
________ ("Model"), with an address at the following:
________
I, ________, for good and valuable consideration, the receipt of which is hereby acknowledged, hereby absolutely and irrevocably authorize ________ as well as their legal representatives, assignees, and transferees to use, publish, reuse, republish, distribute, disseminate or otherwise make publicly available for any artistic or commercial use, including advertising, publication, or illustration images of me and/or my property, of the following description:
________
taken on ________, in whole or in part, whether individually or collectively with any other material, in any and all forms of media now or hereinafter known and/or developed, including, but not limited to, in print media, in digital media, on the Internet, in composite images, or distorted images or for any other lawful use as may be determined by ________ in their sole and exclusive discretion, including the use of my name, without restriction. The photographer may use fictitious names in conjunction with the images.
I further release completely and discharge ________ from any and all demands or claims that may arise out of or otherwise be connected with the use of the photographs featuring me, my image or my property, including, without limitation, and any all claims for the violation of a right of publicity, a right of privacy, or libel. I also waive any and all rights to approve or otherwise review any uses of the photographs featuring me, my image or my property.
This authorization and release will inure to the benefit of the legal representatives, licensees, heirs and assignees of ________ and will also be binding upon me, my heirs, assignees, and legal representatives.
Lorem ipsum dolor sit amet consectetur adipiscing elit sed.
________
Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo.
Model specifically agrees that this Model Release shall be governed and interpreted in accordance with the laws of the the province of Alberta, and the laws of Canada in effect in Alberta. For litigation arising from this Agreement, the parties submit to the exclusive jurisdiction of the courts of Alberta, and to any other court having jurisdiction over the party solely to enforce a judgment of a court of Alberta. Neither party shall seek to enforce an order that has its origin in any court other than the courts of Alberta.
IN WITNESS WHEREOF, the parties have executed this Model Release Form as of the date set forth below.
Photographer Signature: ___________________________________
Date: ____________________________________________
Print Name: ________
________
Model Signature: ___________________________________
Date: ____________________________________________