Model Release Form
Photographer:
Address:
Telephone:
Model:________________________________________________________
Address:______________________________________________________
______________________________________________________________
Telephone: ____________________________________________________
In consideration of _________________ (amount / nil / prints, cd, dvd),
in return for posing for photographs taken by you on:_________
at:___________________________________________________________
______________________________________________________________
I hereby assign full copyright of these photographs to ("The
Photographer") together with the right of reproduction either wholly or in part.
I agree that the Photographer or licensees or assignees can use the
above-mentioned photographs either separately or together, either wholly or in
part, in any way and in any medium.
The Photographer and licensees or assignees may have unrestricted use of these
for whatever purpose, including advertising, with any reasonable retouching or
alteration.
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 authorised 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 have read this model release form carefully and fully understand its meanings
and implications.
signed:_____________________________________________ date:______________
Important!
If the Model is 16 or over but under 18 years of age, a parent or legal guardian must also
sign:
parent/guardian:____________________________________ date:______________