Model Release Form - Studiomaxx printable pdf download

Model Release Form

I, ________________________________________________, hereby grant

(model)

__________________________________________________, his/her legal representatives and assigns

(photographer)

(including but not limited to any agency, client or publication), irrevocable permission to publish

photographs of me taken at:

StudioMax

34-5470 Canotek Road

Ottawa, Ontario

K1J 9H4

on: _____________________________

(date)

These images may be published in any manner, including, but not limited to, calendars, advertisements,

periodicals, greeting cards, internet websites and other print and electronic media. Furthermore, I will hold

harmless the aforementioned photographer and his/her legal representatives and assigns from any liability

by virtue of minor cropping, colour and exposure shifts, touch ups and digital editing changes that may be

required prior to reproducing these photographs.

I affirm that I am 18 years of age or older, and competent to sign this release on my own behalf. I have

read this release and fully understand its implications.

Model's Name: ______________________________________________________________________

Address: ___________________________________________________________________________

City: ________________________ Province: ___________________ Postal Code: ______________

Country: _____________________

Model's Signature: _________________________________________ Date: ____________________

Witness Name: ____________________________________________

Witness Signature: _________________________________________ Date: ____________________

Release by Parent/Guardian of Minor Child

I am the parent or legal guardian of the minor above named, and have legal authority to execute this release

on his/her behalf. I have read and fully understand the contents of this release and consent to the use of

said photographs based on the contents of this release.

Parent Legal/Guardian Name: __________________________________________________________

Parent Legal/Guardian Signature: _____________________________ Date: ____________________

Witness Name: ____________________________________________

Witness Signature: _________________________________________ Date: ____________________

Version: 2014/07/16

Model Release Form - Studiomaxx