< Model Release — geo geller Photography

Photographic Model Release

This document constitutes a binding contract between

 _________________________________(hereafter "Model"), and

                 Geo Geller         (hereafter "Photographer"),

regulating the ownership and use of photographs and derivative works based thereupon (collectively hereafter the "Photos") taken by Photographer of Model on the date of_______________________

for all lawful purposes, subject to the terms and conditions described below.

For valuable consideration, receipt of which is hereby acknowledged, in total payment for services as a photographic Model and for permission herein granted, Model hereby irrevocably consent to and authorize the reproduction, publication and/or sale by Photographer and/or his or her heirs, licensees and assigns of the photographs described below. They may be reproduced in whole or in part, or in conjunction with other photographs or drawings, in any medium, for any lawful purpose, including illustration, promotion, advertising or trade. This payment constitutes the whole obligation of Photographer towards Model, and no further compensation is due.

Model understands that Photographer may be a "stock photographer" and that these photographs may be included in his or her files for sale. Model agrees that copyright, moral rights, and all other intellectual property rights to the Photos belongs to Photographer and/or his or her heirs, licensees or assigns, with full right of lawful disposition in any manner.

Model waives any right to notice or approval for any of these photographs.

Model releases and agrees to hold Photographer and/or his or her heirs, licensees or assigns, harmless from any claim or liability in connection with the publication or use of these images in any manner or form whatsoever, unless it can be clearly shown that the foregoing was maliciously caused, and produced, and published solely for the purpose of subjecting Model to conspicuous ridicule, scandal, reproach, scorn, and indignity.

Model hereby affirms that all poses, positions and situations enacted in the Photos covered in this release were entered into without force, coercion, or threat whatsoever, and were posed freely by Model with Model's full consent. Model further agrees to hold blameless and free of all accusation of such force or coercion Photographer, his legal representatives, assigns, and those acting under his permission.

Model hereby affirms that his/her date of birth is ________________ and that Model is fully able to contract in his/her own name without breach of any prior agreement or applicable law, including, but not limited to, prior agreements with modeling and talent agencies.

Both Model and Photographer affirms to have read the foregoing prior to its execution and agree to the contents thereof.

 _________________________________                   _________________________________

 Model's signature                                                      Photographer's signature

 _________________________________                   ______________

 Signature of Model's parent or guardian,                     Date

 if model is under 18 years of age