Bits of Magic Image Studio | PastiesAndZills Model Release and Interview Form
  • | 408-431-5219

    San Jose, CA

  • Adult Model Release


  • Photographer: Gladys White Scott

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  • I grant to Gladys White Scott / The Naked Artisan Photography ("Photographer") the absolute and irrevocable right and unrestricted permission concerning any photographs that she has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if she so chooses. I release and discharge Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for whom she took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.

  • I understand that I am participating in an art project that is intended for public consumption and display.  I understand that I shall receive a finished digital copy of my project image which includes a personal use liscense as fair compensation for my time and participation.

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  • I certify that I am at least 18 years of age. I have read the release, copyright and policy information herein and fully understand the contents. I agree that I have the legal authority to grant these permissions and and I accept all responsibility for such.

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