This is an agreement set on _________ 2014 between Dominique Pastorino (the “Model”) and ____________________________ (the “Photographer”), upon the terms herewith stated, model hereby restricts the rights to all photographs and do not give permission to copyright and/or use, and/or publish photographic portraits, sale or distribute negatives, transparencies, prints, or digital information pertaining to model, in still, single, multiple, moving or video format, or in which model may be included in whole or in part, or composite, or distorted in form, or reproductions thereof, in color or photographic portraits or pictures of me or in which I may be included intact or in part made through any and all media illustration, art, promotion, advertising, trade, or any other purpose whatsoever.

a). Copyright and Reproduction ("the model") shall own the copyright in all images created and shall have the exclusive right to make reproductions. The Photographer shall only make reproductions for the Model or for the Photographer’s portfolio, samples, self-promotions, entry in photographic contests, editorial use, or for display within or on the outside of the Photographer’s studio with first obtaining the written consent/permission of model.

b). ​Photographic Materials. All photographic materials, including but not limited to negatives, transparencies, proofs, and previews, shall be the exclusive property of the model. The Photographer shall make proofs and prints only available to the model. The Photographer may, with permission, make the proofs available on a CD-ROM for models usage only. The model is obtaining prints for personal use. If obtaining prints for reproduction, Photographer authorizes model to reproduce prints or advertise. In such event, photographer shall request that a credit be placed adjacent to the photograph on publication, but shall have no liability if the publication refuses or omits to do so.

Model represents that he/she is 18 year or older, that the photography session was conducted in a completely proper and highly professional manner, and this release was willingly signed.

Print name ____________________________________

Signature ____________________________________ Date ________________

Print name ____________________________________

Signature _____________________________________ Date_________________