ADULT MODEL RELEASE: 2257 COMPLIANT FORM |
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The Representative has been shown the following items as proof
of the age of the performer, copies of which have been left with the
representatives and are photographed or copied:
IDENTIFICATION:
Model understands that all information given in this agreement
is to comply with FEDERAL LAW and any false statement will subject
PERFORMER to both a civil action by Global Assets, LLC. as well as
criminal prosecution under both FEDERAL and STATE LAW.
SWORN STATEMENT: UNDER 28 U.S.C. 1746 AND THE PENALTIES OF PERJURY
UNDER THE LAWS OF THE UNITED STATES, I SWEAR THAT THE AFOREMENTIONED
IS TRUE AND CORRECT AND THAT EACH OF THE IDENTIFICATION DOCUMENTS
WHICH I HAVE PROVIDED AND OF WHICH I HAVE SIGNED THE ATTACHED COPY
WAS LAWFULLY OBTAINED BY ME AND HAS NOT BEEN FORGED OR ALTERED.
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Performer/Model Release Section:
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I, the undersigned performer/model, (hereafter PERFORMER), do
hereby voluntarily authorize and give permission to Global
Assets, LLC and it’s affiliates, Midnite Secrets, Midnite
Socials, or Enighttalkand their assigned (hereafter
REPRESENTATIVES) to the full and free use of: photographs, vocal
recordings, video, electronic and digital reproductions in any
form of my person or personal property. From the date of
execution of this General Release of Authorization, the
PERFORMER does hereby grant, release and assign to
REPRESENTATIVES any or all claims of right whatsoever in and to
all photo or printed materials of the PERFORMER or by the
PERFORMER and delivered to REPRESENTATIVES for any purpose
chosen by REPRESENTATIVES. I give the REPRESENTATIVES the
absolute right and permission to copyright, use, reuse, publish,
exhibit display, print and reprint in advertising publicity or
promotional material, magazines, books or any other media, or
for any other purposes, the Photograph and video heretofore
taken or presented, or hereafter taken or presented to the
representatives and for which I have acted as a model, including
without limitation, reproductions thereof of which I may be
included in whole or in part. From execution hereto and for
value received and acknowledged below by PERFORMER,
REPRESENTATIVES shall exclusively and irrevocably own in
perpetuity all right, title and interest, including copyright,
in and to the digitized photographs, reproductions, video, vocal
recordings and any digitized printed material (hereafter
PRODUCT) of the PERFORMER with no rights expressly reserved by
the PERFORMER.
PERFORMER also grants REPRESENTATIVES and it’s designees the
right to use his/her name, likeness, image voice, appearance,
and performance as embodied in the PRODUCT whether recorded on
or transferred to video tape, film, slides, photographs, audio
tapes, or other media, now known or later developed.
This grant includes, without limitation, the right to edit, mix
or duplicate and to use or re-use the PRODUCT in whole or part
as the REPRESENTATIVES may elect. REPRESENTATIVES or it’s
designee shall have complete ownership of the PRODUCT in which
the PERFORMER appears, including copyright interests, and the
PERFORMER acknowledges that he/she has no interest or ownership
in the PRODUCT or it’s copyright. PERFORMER also confirms that
he/she is not restricted by any commitments to any other
parties, and that the REPRESENTATIVES has no financial
commitments or obligations to me as a result of this agreement,
besides the consideration provided.
PERFORMER hereby gives all clearances, copyright and otherwise, for
use of my name (OR STAGE NAME), likeness, image voice, appearance
and performance embodied in the PRODUCT. I expressly release and
indemnify REPRESENTATIVES and it’s officers, employees, agents, and
designees from any and all claims known and unknown arising out of
or in any way connected with the above granted uses and
representations. The rights granted REPRESENTATIVES herein are
perpetual and worldwide, survive my death and any other occurrence.
The PERFORMER hereby waives any right to inspect or to approve the
Photographs/Videos or the editorial or advertising copy or printed
matter that may be used by the Users in conjunction therewith, and
further waive any claim that I may have with respect to the eventual
use to which it may be applied. Such Photographs/Video may be used
in the sole discretion of the Users, with or without my name or with
a fictitious name, and with fictitious or accurate biographical
material, alone or in conjunction with any other material of any
kind or nature. I hereby release, discharge and agree to save
harmless the Users and their licensees and assigns from and against
any and all liability connection with the use of such
Photographs/Videos. Without limiting the foregoing, the
Photographs/Videos may be used in magazines and internet
websites/DVDs etc., which contain sexual material.
I hereby release, discharge, and hold harmless Global Assets, LLC,
it’s affiliates and its agents from any and all claims, demands, or
causes of action that I may hereafter have by reason of anything
contained in the photographs or video.
Please initial the following:
I, the PERFORMER,*
do hereby certify and swear under the declaration of perjury that
the aforementioned is true and correct by my signature and that I
agree with such terms.I hereby represent that I am eighteen years of
age or older, and that I was eighteen years of age or older at the
time the Product wascreated. I further represent that I provided
valid and correct identification documents to the Representatives
that are accurate and that a photocopy or photograph of each
identification document is attached to this Release Agreement.
UNDER 28 U.S.C. 1746 AND THE PENALTY OF PERJURY UNDER THE LAWS OF
THE UNITED STATES I SWEAR THAT THE AFOREMENTIONED IS TRUE AND
CORRECT, THAT I HAVE EXAMINED THE PERFORMERS PHOTO IDENTIFICATION
AND DATE OF BIRTH, AND THAT I HAVE OBSERVED THE ORIGINALS OF EACH OR
THE IDENTIFICATION DOCUMENTS OF WHICH COPIES HAVE BEEN ATTACHED
HERETO SIGNED BY THE PERFORMER. IN ADDITION, I SWEAR THAT THE DATE
SET FORTH BELOW IS THE DATE WHEN THESE WERE OBSERVED.
Global Assets, LLC and Affiliates Representative
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