MODEL RELEASE
(non-commercial exchange for photographs)

I __________________________ (hereafter "Model"), do hereby irrevocably authorize PHILIP WARNER and those acting with Photographer's permission, to use photographs taken by Photographer of myself and derivative works based thereupon (collectively hereafter the "Photos") for all lawful purposes subject to the terms and conditions described herein.

I agree that the aforementioned exchange is for photographs delivered to me by Photographer in the quantity and format described as follows:

I agree that, while I may use the Photos for purposes related to the promotion of my Modeling business, including but not limited to advertising, portfolios, composite cards, exhibitions, contests, and promotional internet web sites, I will not sell publication rights in any or all of the Photos without Photographer's prior consent and agree to credit the photographer where the images are used or forfeit my rights of use under this release.

Likewise, I authorize Photographer to use the Photos for purposes related to the promotion of Photographer's business, including but not limited to advertising, portfolios, composite cards, exhibitions, contests, and promotional internet web sites, and publication.

I acknowledge that any photos, artwork or illustrations given to me by Photographer are for personal use only and that Photographer retains copyright and ownership of any and all works created. No modification or manipulation, including but not limited to cropping, alteration of colors or contrast, removal of watermark(s), and/or addition or subtraction of visual elements is allowed without the express permission of Photographer. Any other usage, commercial or otherwise, which includes but is not limited to, sale of prints, use as content for internet pay sites, publishing in print media or use as stock material, is prohibited without the express permission of Photographer. The sale or transfer of usage rights in any form is prohibited.

Photographer grants express permission for any photos, artwork or illustrations to be published on the internet website located at ________________________________ .

Model hereby releases and agrees to hold harmless Photographer and those acting under his permission, from any liability by virtue of editing the images 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.
I have read the foregoing prior to its execution and I am fully familiar with and agree to the contents thereof.

Model's signature__________________________________________ Date ___________
Witness _________________________________________________ Date ___________
Model's mailing address_____________________________________
EMail____________________________________________________