Content Agreement Form

Please print this page and fill it out then upload with your Governement issued ID for Verification

MODEL IDENTIFYING INFORMATION AND AFFIDAVIT:

Model understands that all the information given in this Agreement is being provided to comply with federal law and any false statement will subject Model to both a civil action by Producer as well as criminal prosecution under federal and state law. _________ (model initials)

a. Legal Name: _____________________________________ b. Date of Birth: ____________ Age: _________ _____

(Full Current Legal Name: First, Middle, Last) (Month, Day and Year)

c. Primary identification document must be government issued passport, driver’s license, motor vehicle department ID, or military ID: (Each should be described, including the ID number. Clear, good quality, color photocopies of each must be attached to this Form and the photocopies must be signed in ink by Model):

(1) First form of identification: (2) Second form of identification:

____________________________ _______________________________

ID # ________________________ ID #___________________________

d. All other names ever used (include previous legal names, stage names, Web handles, maiden or married names, aliases, professional names and nicknames):

(1) ____________________________ (a) _________________________________

(Stage Name for this Production) (All other names)

(2) ____________________________ (b) _________________________________

(Maiden Name if applicable) (All other names)

(3) ____________________________ (c) _________________________________

(Previous legal name, if applicable) (All other names)

e. Phone #_______________________ [home] Phone# __________________________[mobile]

f. Models must consent to the following;

Consent to be depicted in the content.
Signature: _________________________
Consent to allow for the public distribution of the content and to upload the content to the website MyGoodFans.
Signature: _________________________
Consent to allow content to be downloaded by users.
Signature: _________________________

g. Models must agree to the following;

You agree that you will not post any illegal content or otherwise violate Terms Of Servce.
Signature: _________________________
You agree that any and all persons depicted in content are adults and and will each seperately will provide a government issued ID and fill out this form and submit it.
Signature: _________________________

SWORN STATEMENT: “UNDER 28 U.S.C. §1746 AND THE PENALTIES OF PERJURY UNDER THE LAWS OF THE UNITED STATES, I SWEAR THAT THE FOREGOING IS TRUE AND CORRECT AND THAT EACH OFTHE IDENTIFICATION DOCUMENTS WHICH I HAVE PROVIDED AND OF WHICH I HAVE SIGNEDTHE ATTACHED COPY WAS LAWFULLY OBTAINED BY ME AND HAS NOT BEEN FORGED OR ALTERED.”

Print Name: ______________________________________________________

Signature: ______________________________________________________

Model’s Signature (using full legal name)

Today’s Date:____________

Custodian of Records email records@mygoodfans.com