Model Release: Agreement and Authorization for Model to be in Media

This Model Release (the "Agreement") is made this 6th day of August, 2011.

BETWEEN:

Katrina Khatibi of
Miami, FL 33186
Email: kat@persiankittykat.com
Website: www.PersianKittyKat.com
Work: 7867098615

OF THE FIRST PART

-AND-

Model Name	________________________________________
Street Address	________________________________________
City, State, Zip	________________________________________
Email	________________________________________
Home Phone	________________________________________
Work Phone	________________________________________
Cell Phone	________________________________________

OF THE SECOND PART

1. BACKGROUND:
   
1. The Artist may choose or is currently engaged in the business of creating media, which includes but is not limited to engaging in the following activities for personal and commercial gain:
   
   photography, photo editing, and photo production; digital photography, digital photo editing, and digital photo production; and web design and production.
   
2. The Model consents to being a subject of the Artist in media. The Model will allow the Artist to capture images and sound recordings for use in media.  
   

WHEREBY:

THE ARTIST IS RELEASED OF LIABILITY: For good and valuable consideration herein acknowledged as received, the Model releases the Artist and assigns  permission to license all images and sound recordings and to use of images and sound recordings in any media for any purpose which may include, among others, advertising, promotion, marketing and packaging for any product or service. The Model agrees that any images and sound recordings may be combined with other images, text and graphics, cropped, altered and modified.

THE ARTIST RETAINS ALL RIGHTS: The Model agrees that the Artist has all rights to images and sound recordings, for perpetuity unless explicitly noted in this Agreement. The Model acknowledges and agrees that the Artist is not liable for any further consideration or accounting, and further claims for any reason.

DURATION OF AGREEMENT: The Model acknowledges and agrees that this Agreement is binding on all heirs and assigns. The Model acknowledges and agrees that this Agreement is irrevocable, worldwide and perpetual, and will be governed by the laws of the State of Florida, excluding the law of conflicts.

This Agreement contains the entire agreement between the parties to this release and the terms of this Agreement are contractual and not a mere recital.

This Agreement will be construed in accordance with and governed by the laws of the State of Florida.

_____________________________ Model's Name (print)

__________________________ Signature

IF THE MODEL IS UNDER THE LEGAL AGE OF MAJORITY:

I am the parent or legal guardian of the minor above named as the Model, and I have legal authority to execute this Agreement on the Model's behalf. I have read and fully understood the contents of this Agreement, and consent to the said use of images and sound recordings based on the contents of this Agreement.

SIGNED, SEALED AND DELIVERED in the presence of: ____________________________ Parent or Guardian (print name)

__________________________ Signature

For good and valuable consideration, the Model releases Katrina Khatibi and assigns permission to license and use all images and sound recordings in any media and for any purpose.  The Model agrees that Katrina Khatibi has all rights to images and sound recordings for perpetuity. This agreement is irrevocable, worldwide and perpetual. Model Name (Print): __________________________ Model Signature:   _________________________ Date:   _____________________________