Model Release Template

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Permission for Photography
For valuable consideration received, I grant to
YOUR NAME
("Photographer") the absolute and
irrevocable right and unrestricted permission concerning any photographs that
he/she
has taken or may
take of me or in which I may be included with others, to use, reuse, publish, and republish the
photographs in whole or in part, individually or in connection with other material, in any and all media now
or hereafter known, including the internet, and for any purpose whatsoever, specifically including
illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use
my name in connection with any use if
he/she
so chooses.
I release and discharge the Photographer from any and all claims and demands that may arise out of or in
connection with the use of the photographs, including without limitation any and all claims for libel or
violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of
the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for
whom
he/she
took the photographs. I am a legally competent adult and have the right to contract in my
own name. I have read this document and fully understand its contents. This release shall be binding
upon me and my heirs, legal representatives, and assigns.    
 
MODEL NAME:
_____________________________________________________________________
MODEL’S EMAIL ADDRESS:
____________________________________________________________
MODEL’S MAILING ADDRESS:
___________________________________________________________
IN CONSIDERATION OF HAVING RECEIVED (i.e. Photos/Compensation/etc)
_______________________
IN RETURN FOR POSING FOR PHOTOGRAPHS TAKEN ON (date):
________________________________
AT (location):
_____________________________________________________________
MODEL’s SIGNATURE AND DATE:
_____________________________________________________________
*If the Model is under 18 year of age, a parent or legal guardian must also sign
PARENT/GUARDIAN SIGNATURE AND DATE:_______________________

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