Model Release Form printable pdf download

reV 4/07

MODEL RELEASE FORM

__________________________________________

PhotograPher name

__________________________________________

PhotoShoot / location / Date

__________________________________________

moDel name

For valuable consideration, hereby received, i irrevocably consent to and authorize the use and reproduction by

University of central Florida (UcF), or anyone authorized by UcF, of any and all photographs which you have this day

taken of me, negative or positive, mechanical or electronic, for any purpose whatsoever, without restriction, and without

further compensation to me. all negatives, positives, video or audio tapes, electronic files, together with any prints

shall constitute UcF property, solely and completely. i hereby release, discharge, indemnify and save harmless UcF, the

UcF Board of trustees, the State of Florida and the Florida Board of governors and their respective agents, officers,

employees and servants, the photographer, his/her representatives, assigns, employees, or any person or corporation

acting under the permission of UcF or the photographer, including any firm publishing or distributing the finished

product, even though the finished product may be distorted, blurred, altered or used in composite forms, in conjunction

with factual or fictional text, either intentionally or otherwise and subject me to scandal, scorn, ridicule, reproach or

indignity. i hereby waive any right to approve the finished photograph or any copy which might be used in conjunction

with the finished photograph. if i am below the age of majority (18) in the legal jurisdiction applicable to this agreement,

the agreement has been signed or approved by the parent or guardian.

Signature ______________________________________________________________________ Date ________________

e-mail _________________________________________________

i consent to my name being used with my photograph.

F O R P A R E N T S O R L E G A L G U A R D I A N S O N LY ( I F N E C E S S A R Y )

i hereby certify that i am the parent or legal guardian of the above named model, and for value received. i do give my

consent without reservations to the forgoing on behalf of him, her, or them.

name _____________________________________________________________________ relationship ______________

Signature ______________________________________________________________________ Date ________________

Model Release Form