1. Print out this form.
  2. Fill in the printed form.
  3. Send the form, completed, to the address at the bottom of this page.


Friends and Lovers Official Model Release & Entry Form


For and in consideration of my engagement as a model by the "Photographer," in the event such photographs are used or sold, and in further consideration of the publicity to be received by the undersigned by use of such photogaphs, I hereby give the Photograher, his or her agents, representatives and assigns, those for whome she is acting, and those acting with his or her permission or authority, and his or her respective agents and employees, and any person or entity who may hereafter publish the films or photographs (hereinafter collectively refered to as the "Users") the absolute right and permission to copyright in it's own name, use, reuse, publish, republish, exhibit, display, print and reprint inadvertising material, television and motion pictures, magazines, books, video recordings, audio recordings or other media, known or unknown at this time, and for any other purposes as they may see fit, in their sole and absolute discretion, the films photographs, video recordings, and audio recordings, nagatives, prints of every kind and nature, illustrations, portraits made from the photographs, pictures, designs, paintings and drawings of every kind and nature heretofore taken, or taken this day, or hereafter taken, including, without limitation, reproductions thereof in which I may be included in whole or in part(hereinafter collectively refered to as the "Photographs"). Such photographs may be used in any way by the Users for the purposes of trade, advertising, publicity or promotion of any kind without restriction. The failure of Photographer to pay for such use shall not be deemed as a failure of consideration by any other Users. World rights and multiple usages are hereby authorized.

I hereby waive any right to inspect or approve the Photographs or the editorial or advertising copy or printed matter that may be used by the Users in conjunction therewith. I further waive any claims that I may have to the eventual use to which it may be applied. Such Photographs may be used, in the sole discretion of the Users, with or without my name, or a fictitious name, and with fictitious or accurate quotations, interviews or biographical material. The Users may use such the Photographs and accu rate or fictitious statements attributed to me which may constitute endorsement of services or products, in the sole discretion of the Users. I hereby certify that I am an amateur model, have never appeared in any erotic films or videos, have not posed for any publication and/or have never received any cash or prizes for nude modeling. I fully understand that I will receive no compensation for the use of my Photographs other than that voluntarily paid by the Users in the event that such Photographs are published by such Users.

I understand that having done any such professional nude modeling effectively eliminates me from eligibility to win cash and/or prizes in the "Friends & Lovers" contest. I further understand that in order to qualify for the contest's cash and/or prizes I must maintain my amateur status, according to the conditions in the foregoing paragraph, from the date I submit my photographs for consideration to Genesis, to the date of their review by Genesis and, if accepted, their appearance in Genesis magazine, to the conclusion of the annual winner contest for the year the photographs are eligible, assuming they meet all other conditions described herein.

I hereby release, discharge, and agree to defend, indemnify and save harmless the Photographer and Users, their legal representatives, agents, licensees, successors and assigns, and all parties acting under their permission, or with authority from them, or those for whom they are acting, from and against any and all losses, damages, costs, charges, attorneys' fees, recoveries, actions, judgments, penalties, expenses and any other loss whatsoever which may be obtained against, imposed upon or suffered by all or any of them which may arise from the use of such Photographs, even should the same subject me to ridicule, scandal, reproach, scorn or indignity, and from any liability as a result of any distortion, blurring or alteration, optical illusions or use in composite form, either intentionally or otherwise, that may occur or be reproduced in the taking, processing or reproduction of the finished product, or its publication or distribution or which may arise from any breach of any warranty, representation, covenant or agreement made by me. I waive any claim that I may have for alleged violation of privacy, defamation or libel by the use of such Photographs.

I hereby represent that I am over the age of 18 years and have read the authorization and release prior to its execution. I have not been induced to sign the same other than by the recited considerations, by any representation or statement made by Photographer, his or her agents, employees, or anyone action on his or her behalf.

The Photographer, as primary producer, hereby certifies to all Users that the visual depictions, covered by this release satisfy the standards under paragraphs (a) (1) through (a)(3) of Section 75.7 of the Regulations implementing 18 U.S.C.§ 2257 and not depict actual sexually explicit conduct.


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The enclosed photographs are of my (check one):
[ ] Friend      [ ] Lover       [ ]
Photographer's Name(Print):
________________________________________
Photographer's Address:
________________________________________
City _________________________
State________ Zip ______
Daytime Phone Number (____) ____-______
Other Names Used _________________________

The Photographer has been shown and attaches hereto a legible copy of the following identification items, as proof of the age of the Model, one of which is a picture identification issued by a state or federal government or a private entity, bearing the photograph and the name of the Model. (Please check appropriate boxes).

[ ] Driver's License
[ ] Passport
[ ] Other Government Issued ID
[ ] Other _________________________________

Photographer's Signature
____________________________Date __/__/__(mm/dd/yy)

Model's Name (Print):
________________________________________
Model's Address:
________________________________________
City ________________________________
State _____ Zip _____
Daytime Phone Number (____) ____-______
Date of Birth __/__/__ (mm/dd/yy)
Model's Social Security Number _______________
Occupation _______________________________
Name to use in magazine(other than legal name if desired):
________________________________________
All other names used, including maiden name, aliases, nicknames, stage names or professional names._______________________________________ __________________________________ ______________________________
Measurements(Breasts/Waist/Hips)_________ Height ____

Model's Signature
____________________________Date __/__/__(mm/dd/yy)

Name of Witness (Print) _________________
Address of Witness_____________________
City ________________________
State________ Zip __________

Witness's Signature
____________________________Date __/__/__(mm/dd/yy)

No prizes are due or will be awarded unless your photos are published in GENESIS magazine
SEND TO: GENESIS, "F &L" Contest, 210 Route 4 East, Suite 211, Paramus, NJ 07652-5116