Model Release Form
Artist InformationName:
Address (including postcode and country):
Contact number:
Email address:
Date of shoot/drawing/etc.:
Description of shoot/drawing/etc.:
Signature:
Date:
Model Information
I grant the above mentioned Photographer permission to photograph me. I further grant the Photographer and any licensees or assignees the absolute right to use the photographs and any other reproductions or adaptations from the above mentioned photographic shoot. I understand that the image shall be deemed to represent an imaginary person unless specfically agreed otherwise in writing by the photographer. I agree that I have no rights to the images and that all rights to the images belong to the artist above. I acknowledge and agree that this release is binding upon my heirs and assigns. I agree that this release is irrevocable, worldwide and perpetual. I agree that the law of England will apply to this release.
Name:
Address (including postcode and country):
Contact number:
Email address:
Date of birth:
Attach/staple copy of visual reference here e.g. passport, drivers licence, photo ID. |
If model is 18+
I represent and warrant that I am at least 18 years of age and have the full legal capacity to execute this release.
Signature:
Date:
If model is under 18
I represent and warrant that I am the legal guardian of the model above and have the full legal capacity to consent to the image and to execute this release of all rights. I acknowledge that the Model is a minor and certify that I have given my consent freely and this release was willingly signed.
Signature of parent or guardian:
Date:
Witness (must be 18+)
Full name:
Signature:
Date:
