Model Release Agreement | Non-Commercial Use
This form constitutes a Model Release Agreement between you (the “Grantor”) and the photographer (the “Grantee”), in accordance with the laws of the Federal Republic of Germany.

Grantee - Silvio Luiz Angelo Pelegrin, 02.01.1990

By completing this form, you consent to the use of photographs and/or video footage in which you appear, taken on the specified date and location, for non-commercial purposes only. These purposes may include the photographer’s portfolio, social media, editorial publications, art exhibitions, and blog content.

Summary of Terms

1. Purpose

You grant the photographer the right to use your image solely for non-commercial use as described above.

2. Duration

Your consent is granted for an indefinite period, unless you revoke it in writing with 30 days’ notice.

3. Usage Limitations

The images must not be used for advertising, endorsement, resale, or any commercial purposes without your prior written consent. Images may not be altered in a way that distorts or misrepresents you.

4. Compensation

This is a non-remunerated release. No payment or financial compensation is due from either party under this agreement.

5. Data Protection (GDPR)

Your personal data, including your name, likeness, and contact information, will be collected and processed in compliance with the EU General Data Protection Regulation (GDPR).

You have the right to request access, correction, or deletion of your data at any time, as per Articles 15–18 of the GDPR.

6. Governing Law

This agreement is governed by German law. Any disputes will be settled in the courts of Berlin, Germany.

By submitting this form, you confirm that you understand and agree to the terms outlined above. If you are under 18 years of age, a parent or legal guardian must complete and sign the form on your behalf.

Please ensure all required fields are completed truthfully and accurately.
Email *
Full Name *
Date of Birth

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Instagram Account
Phone Number
Shoot Location (Event Name)
Date of the Agreement (Shoot Date) *
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DD
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YYYY

I confirm that I have read, understood, and agree to the terms of the Model Release Agreement, including the data protection and usage clauses.

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A copy of your responses will be emailed to the address you provided.
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