Adult Talent Release (Liam)

1. ADULT TALENT AGREEMENT RELEASE
Date/s of production/s: _________________________
Talent: _________________________________________
Address: ________________________________________
_________________________________________________
Phone No: _______________________________________
Model’s Age (at time of production): ____________
Name of production: _____________________________
THIS TALENT AGREEMENT AND RELEASE (“Agreement”) is dated ___________ and
is between the undersigned photographer (“Photographer”) and the
undersigned performer (“I”).
Agreement as follows:
I hereby grant the undersigned photographer permission to photograph me.
I further give my irrevocable consent to photographer to publish the
image at his/her place of education with the possibility of uploading the
finished project to one of the College’s YouTube or Vimeo channels or
official website.
I understand that the images may be altered or modified in any manner.
I am of legal age and have the full legal capacity to execute this
authorisation without the consent or knowledge of any other person.
AGREED BY THE PERFORMER PHOTOGRAPHER
Signature__________________________ Signature__________________________
Print Name:________________________ Print Name:________________________
Date: _____________________________ Date: _____________________________
Liam Culham
11 Rose Court, Lowestoft, Suffolk
07449443205
18
AHP Corporate video
10/10/2016
10/10/2016
LIAM CULHAM
L.Culham
10/10/2016
Lois Turrell
L.Turrell
13th Oct – 1st Nov