Model Release Form printable pdf download

Model Release Form

I grant permission to First Any Church to use photographs taken of me on the date and

at the location listed below for use in its publications, such as newsletters and brochures,

and to use the photographs on display boards, and to use such photographs in electronic

versions of the same publications or on the church’s Web sites or other electronic forms

or media.

I hereby waive any right to inspect or approve the finished photographs or printed or

electronic matter that may be used in conjunction with them now or in the future, whether

that use is known to me or unknown, and I waive any right to royalties or other

compensation arising from or related to the use of the photograph.

I am 18 years of age or older and I am competent to contract in my own name. I have

read this release before signing below, and I fully understand the contents, meaning and

impact of this release. I understand that I am free to address any specific questions

regarding this release by submitting those questions in writing prior to signing, and I

agree that my failure to do so will be interpreted as a free and knowledgeable acceptance

of the terms of this release.

(Please print)

Location of Photo: ____________________________________________________________

Date: ________________________________________________________________________

Name ________________________________________________________________________

Signature: ___________________________________________________________________

Signature of guardian:

[if under 18 years of age]_________________________________________________________

•

First Any Church • 1520 Oak St. • Anytown, USA

(555) 555-1520 •

Model Release Form