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Model Release Form

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90 views1 page

Model Release Form

Uploaded by

api-350779844
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Model Release Form

PHOTOGRAPHER: ___________________________________________________________________
MODEL: ___________________________________________________________________________
MODELS EMAIL ADDRESS:
____________________________________________________________________________________
MODELS MAILING ADDRESS:
____________________________________________________________________________________
IN CONSIDERATION OF HAVING RECEIVED (i.e. Photos/Compensation/etc)
_______________________
IN RETURN FOR POSING FOR PHOTOGRAPHS TAKEN ON (date): __________________________
AT (location): _________________________________________________________________________

I hereby assign full copyright of these photographs to the above-mentioned photographer (and
the related representatives and assigns) together with the right of reproduction either wholly or in
part.
I grant to the Photographer or licensees or assignees the permission to can the above-mentioned
photographs either separately or together, either wholly or in part, the perpetual and irrevocable
and unrestricted right to use and publish video and/or photographs of me, or where I may be
included for editorial trade, product advertising and such other fashion /business purpose in any
manner and medium.
The Photographer and licensees or assignees may have unrestricted use of these for whatever
purpose, including advertising, with any retouching or alteration without restriction.
I agree that the above mentioned photographs and any reproductions shall be deemed to
represent an imaginary person, and further agree that the Photographer or any person authorized
by or acting on his or her behalf may use the above mentioned photographs or any reproductions
of them for any advertising purposes or for the purpose of illustrating any wording, and agree
that no such wording shall be considered to be attributed to me personally unless my name is
used.
Provided my name is not mentioned in connection with any other statement or wording which
may be attributed to me personally, I undertake not to Prosecute or to institute proceedings,
claims or demands against either the Photographer or his or her agents in respect of any usage of
the above mentioned photographs. I hereby release the photographer named above from all
claims and liability relating to images, video or photographs taken of me.
I have read this model release form carefully and fully understand its meanings and implications.
signed: _______________________________ date: __________
Important: If the Model is under 18 year of age, a parent or legal guardian must also sign
parent/guardian: _______________________ date: __________

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