Standard Model Release - ENM Magazine

If you are taking an assignment as a fill in model, or are awarded a casting call for LoveTribeMedia/ENM Magazine, or if you are aware there are images of you that are being sent to us for an article for publication, please take a moment to fill out this form.
We are required to have your permission to publish, and we must have a copy of your photo Identification in order to proceed.

PhotoID Instructions

Due to the nature of this publication, we are required by law to maintain age verification documents on people depicted in images that are sexually explicit. The law is vague and subject to interpretation on what exactly constitutes “sexually explicit” so we maintiain ID documentation on everyone. In the interest of Identity safety, we allow you to block out all but the information we need that is vital for legal age verification purposes. You may use a Dry Erase marker, or tape to block out your address and any other information except your Identification number, your full name, your date of birth, the expiration date of your ID, and your ID photo. (see photo) You may scan your ID, or just send us a cell phone snapshot of it, just be sure the image is clear and legible.

Standard Model Release

Name *

First

Last

Desired Stage Name

If you do not provide us with a stage name we will use your first name only.

Email *

Please provide your mailing address

Address Line 1

Address Line 2

City

State

Zip Code

This is optional. Depending on your contribution, you may be eligible for a complimentary copy of the magazine. We will let you know if you're eligble for a complimentary copy and we will give you an opportunity to order additional copies at a discount.

Social Media and Websites

Please enter one Social Media URL or website URL per line

ID Photo

Click or drag a file to this area to upload.

If we are using images of you that depict nudity, under federal law we must have age verification documents on file. Please attach a photo of your government issued Photo Identification. It can be a State ID, Drivers License, or Passport. It must show your photo, Full Legal Name, Date of Birth and ID Number. All other information can be blocked out for identity security. Due to the nature of this magazine, we are required by federal law Title 18 section 2257 to document that we have verified you to be of legal age by maintaining on file a photo copy of your Age verification documents to make available for inspection at any time.

Certification *

I hereby authorize the publisher LoveTribeMedia, its representatives, subsidiaries, assigns, licensees, those acting under its permission, and on his authority, to copyright, publish and use in any form of media and in manners for advertising, trade, promotion, exhibition, publication, or any other lawful purpose whatsoever, still single, multiple, or moving photographic or digital images, pictures or video of myself in which I may be included in whole or in part, alone or in conjunction with others, or composite, or distorted in character or form, in conjunction with my Stage Name as provided or reproductions thereof in color or otherwise or in derivative works made through any medium. I understand that this authorization is permanent and irrevocable. I hereby waive any right that I may have to inspect or approve the finished product or advertising or other copy that may be used in connection therewith or the use to which they may be applied. I certify that I enter into this agreement willingly and understand the risks that may be associated with images of my likeness being published online and in print. I do hereby release and agree to hold harmless the publisher, photographer, his legal representatives, assigns, licensees, and those acting under his permission from any liability of defamation of my character that may arise as a result of the use of these images.

Digital Signature *

Please type in your full legal name - by signing this document you certify it is true and correct, and that you are entering into this agreement and agree to its terms in perpetuity.

Comment