Standard Model Release Form printable pdf download

STANDARD MODEL RELEASE

For good and valuable consideration herein acknowledged as received, and by signing this release I hereby give the

Photographer/Videographer and Assigns (also known as your company name here) my permission to license the

Images and to use the Images in any Media for any purpose (except pornographic or defamatory) which may include,

among others, advertising, promotion, marketing and packaging for any product or service. I agree that the Images

may be combined with other images, text and graphics, and cropped, altered or modified. I acknowledge and agree

that I have consented to publication of my ethnicity(ies) as indicated below, but understand that other ethnicities may

be associated with Images of me by the Photographer and/or Assigns for descriptive purposes.

I agree that I have no rights to the Images, and all rights to the Images belong to the Photographer/Filmmaker and

Assigns. I acknowledge and agree that I have no further right to additional Consideration or accounting, and that I

will make no further claim for any reason to Photographer/Filmmaker and/or Assigns. I acknowledge and agree that

this release is binding upon my heirs and assigns.

I represent and warrant that I am at least 18 years of age and have the full legal capacity to execute this release.

Definitions: 1)“MODEL” means me and includes my appearance, likeness and form. 2)“MEDIA” means all media including digital, electronic, print, television, film and

other media now known or to be invented. 3)“PHOTOGRAPHER/FILMMAKER” means photographer, illustrator, filmmaker or cinematographer, or any other person or

entity photographing or recording me. 4)“ASSIGNS” means a person or any company to whom Photographer/ Filmmaker has assigned or licensed rights under this

release as well as the licensees of any such person or company. 5)“IMAGES” means all photographs, film or recording taken of me as part of the Shoot.

6)“CONSIDERATION” means something of value I have received in exchange for the rights granted by me in this release. 7)“SHOOT” means the photographic or film

session described in this form. 8)“PARENT” means the parent and/or legal guardian of the Model. Parent and Model are referred to together as “we” and “us” in this

release.

Photographer/Videographer Information

Name _____________________________________________________

Address ___________________________________________________ Email ________________________

Phone _____________________________________________________

__________________

Signature _______________________________________ Date

Shoot Description __________________________________________________________________

Model Information (or Parent/Guardian Address)

Name (print) _____________________________________________________ Gender: M F

Address ___________________________________________________________________________

City __________________________________ State/Province _____________

Country _____________________________ Zip/Postal Code _____________

Phone _______________________ Email _____________________________

Date of Birth _____________________________________________________

Signature (if over 18) ________________________________________________Date _________________

Parent(s) or Guardian(s)

Parent warrants and

(if person is a minor or lacks capacity in the jurisdiction of residence.)

represents that Parent is the legal guardian of Model, and has the full legal capacity to consent to the shoot and to

execute this release OF ALL RIGHTS IN MODEL’S IMAGES.

Name (print) _____________________________________________________

Signature ________________________________________________Date _________________

Relationship to Model: [ ] Parent

or [ ] Legal Guardian

Witness

(NOTE: All persons signing and witnessing must be of legal age and capacity in the area in which this Release is

signed. A person cannot witness their own release)

Name (print): ___________________________________________________________

Signature _____________________________________ Date ___________________________

YOUR COMPANY NAME •

Standard Model Release Form

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