Model Release Form

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Model Release Form
Photo Release for Adults
I, being 18 years or older, hereby consent that the photographs in which I appear may be used by the
Photographer_______________________________________________, its assigns or successors, in whatever way
they desire, including television without compensation. Furthermore, I hereby consent that such photographs shall be
their property, and they shall have the right to sell, duplicate, reproduce, and make other lawful uses of such
photographs as they may desire, free and clear of any claim whatever on my part in perpetuity.
IN WITNESS WHEREOF I have hereunto set my hand, in the State of Illinois, this _____ day of __________, 20____
Location:
Signature:
Name (Print):
Address:
City:
State:
Zip:
Photo Release for Minors
I being Parent/Guardian of ____________________________________, hereby consent that the photographs for
which he/she posed may be used by the Photographer_______________________________________________, its
assigns or successors, in whatever way they desire, including television without compensation. Furthermore, I hereby
consent that such photographs shall be their property, and they shall have the right to sell, duplicate, reproduce and
make other uses of such photographs as they may desire free and clear of any claim whatsoever on my part or my
child’s part, or by anyone who may claim by or through my child in perpetuity.
IN WITNESS WHEREOF I have hereunto set my hand, in the State of Illinois, this _____ day of __________, 20____
Signature of parent:
Name of child (print):
Name of parent (print):
Address:
City:
State:
Zip:
Photograph(s) Title (in which Model Appears):
Photographer Full Name (Print):
Address:
City:
State:
Zip:
Photographer Signature:

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