BRAND AMBASSADOR /
MODEL RELEASE AGREEMENT
For good and valuable consideration and compensation of $_________ being paid to _________________ for work done as a Brand Ambassador / Fitness Model for the brand Fitness Soldiers & Fitness Soldiers Inc., on ____/____/2024, _____________________ (printed name) further referred to as Model, hereby give permission for Fitness Soldiers Inc., & E. Hughey further known as the Artist, release and assigns permission to license and use all images and sound recordings in any social and or media outlet.
Upon filling out this form, Model will be compensated the total amount in full of $________ for participation via the initial method of payment mentioned below and fill in any order numbers if available showing how Model was paid. Initial next to which ever option was chosen.
Certified Company Check from Fitness Soldiers Inc._____. Check #__________
U.S. Postal Money Order ______. Money Order #: ___________________
Walmart and/or Money Gram Money Order: ________ #________________________
Cash in the amount of $_______ Balance Due: _________ Paid in full: ________
Zelle: ________ Cash App: ________ Venmo: _________
Model Name (Print): _________________________
Model Signature: ___________________________
Age: ______ Date of Birth: _____________ Last 4 digits of Social Security Number: __________
Tel: __________________ Email: _______________________
Initial the payment was paid in full ___________
X: _________________________ Signature of E. Hughey (Artist) X:________________________ Printed Name
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.
__________________________________________ (Signature)
__________________________________________ (Parent and/or Legal Guardian – Printed name)
Tel: ____________________ Email: ___________________________