Ladies, Want to be in a Farmacy music video?

Fill out the form below and attach your 3 selfies.

1. Normal

2. Resting Bitch Face

3. Rage (see below examples)




*please refrain from using filters on your photos (facebook, instagram, snapchat)

*This project is for women and individuals who identify as women only)

*All women over 18, races, and body sizes welcome.

*All pictures are subject to use by the producer, we reserve the right to not use certain models.


Talent Release Form

I, the undersigned, enter into this Agreement with Jennifer Gaddy/ Designs/Farmacy Band
herein referred to as Producer.
I have been informed and understand that Producer is producing a video/art/promotional program
and that my name, likeness, image, voice, appearance and/or performance is being recorded and
made a part of that production ("Product").
1. I grant Producer and its designees the right to use my name, likeness, image, voice,
appearance, and performance as embodied in the Product whether recorded on or transferred to
videotape, video files, film, slides, photographs, audio tapes, social media, or other media, now
known or later developed. This grant includes without limitation the right to edit, mix or duplicate
and to use or re-use the Product
In whole or part as Producer may elect. Producer or its designee shall have complete ownership of the
Product in which I appear, including copyright interests, and I acknowledge that I have no interest or
ownership in the Product or its copyright.
2. I also grant Producer and its designees the right to broadcast, exhibit, market, sell and
otherwise distribute the Product, either in whole or in parts, and either alone or with other products,
for commercial or non-commercial television or theater, closed-circuit exhibition, home video
distribution or any other purpose that Producer or its designees in their sole discretion may
determine. This grant includes the right to use the Product for promoting or publicizing any of the
3. I confirm that I have the right to enter into this Agreement, that I am not restricted by any
commitments to their parties, and that Producer has no financial commitment or obligations to me
as a result of this Agreement. I hereby give all clearances, copyright and otherwise, for use of my
name likeness, image, voice, appearance and performance embodied in the Product. I expressly
release and indemnify Producer and its officers, employees, agents and designees from any and all
claims known and unknown arising out of or in any way connected with the above granted uses and
representations. The rights granted Producer herein are perpetual and worldwide.
4. In consideration of all the above, I hereby acknowledge receipt of reasonable and fair
consideration from the Producer.
I have read the foregoing and understand its terms and stipulations and agree to all of them: