Skip to content
Dallas Video Production and Photography | DFW Dallas / Fort Worth | 214-810-5570
|
info@dtxmedia.com
facebook
instagram
vimeo
yelp
Smugmug
Google Maps
Bing
Email
Services & Portfolios
All Services
Video Only
All Video
Pre-Production
Post-Production
Interviews
Training Videos
Live Video
Spanish Video
Time-Lapse
Aerial
Aerial Video
Aerial Photography
Helicopter Aerials
Drone Aerials
Aviation
Events
Event Video
Event Photography
Live Video
Video Conferencing
Sports
Photo Station
Audio
Portraits
Corporate Portraits
Headshots
Group Portraits
Lifestyle / Candid
Consumer Portraits
Commercial
Editorial
Corporate
Industrial
Healthcare
Product
Goods
Food & Beverage
Fashion
Real-Estate Media
All Photography
About Us
Crew
Locations
Mission Statement
Rates
Contact
info@dtxmedia.com
214-810-5570
Search for:
Model Release
mario
2020-10-27T15:38:21+00:00
Share this QR code to link to this page.
or use the mini-link dtx.li/mr
———
Form is successfully submitted. Thank you!
DTX Media Model Release - 2020 v2
DTX Media Model Release
In consideration of my engagement as a model/ actor, and for other good and valuable consideration herein acknowledged as received, I hereby grant to DTX Media, LLC, it's employees or contract photographers / videographers, it's owner, it's legal representatives and assigns, those for whom photographer / videographer is acting, it's clients and it's client's clients, the irrevocable and unrestricted right and permission to copyright, in his/her own and or the company name, to use, re-use, publish, and re-publish photographic pictures or video of me or in which I may be included, in whole or in part, or composite or distorted in character or form, without restriction as to changes or alterations, in conjunction with my own or a fictitious name, or reproductions thereof in color or otherwise, made through any medium at on shoot location or elsewhere, and in any and all media now or hereafter known for illustration, promotion, art, editorial, advertising, trade, or any other purpose whatsoever. I also consent to the use of any printed matter in conjunction therewith and hereby waive any right that I may have to inspect or approve the finished product or products and the advertising copy or other matter that may be used in connection there- with or the use to which it may be applied.
*
I agree
Model's Full Legal Name
*
Model Birth Date
*
Is Model 18 years of age or older?
*
Yes
No
Guardians Name (if under 18)
Email
*
Phone
Address
Additional Information or Terms (Optional)
Image / Visual Reference (selfie, license pic, headshots, etc)
Upload
% Completed
0
Signature
*
Today's Date
*
By submitting the above form, I hereby release, discharge and agree to save harmless DTX Media, LLC all persons acting under it's permission or authority or those for whom it is acting, from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking of said picture or in any subsequent processing thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy.
*
I agree
Submit
5
/
5
(
1
vote
)