Photographic Model Release
Permission to take and publish photographs taken of me.
For valuable consideration, receipt of which is hereby acknowledged,
in total payment for services as a photographic model and for
permission herein granted, I hereby irrevocably consent to and authorize the reproduction, publication and/or sale by photographer ____________
and/or his/her heirs, licensees and assigns of the photographs described
below. They may be reproduced in whole or in part, or in conjunction with other photographs or drawings, in any medium, for any
lawful purpose, including illustration, promotion, advertising or trade. I understand that there will be no further compensation due me.
I understand that the above named photographer may be a stock photographer and that these photographs may be included in his/her files for sale. I agree that these photographs and the right to copyright the same shall be the property of the photographer and/or his/her heirs, licensees or assigns, with full right of lawful disposition in any manner.
I waive any right to notice or approval for any of these photographs, and I release, discharge and agree to save the above named
photographer and/or his/her heirs, licensees or assigns, harmless from any claim or liability in connection with the publication or
use of these images in any manner or form whatsoever, whether intentional or otherwise.
I hereby warrant that I am of full legal age and
have the right
to contract in my own name.
Model's Name:
Model's
Artist Name:
Date of birth:
Address:
City:
State:
Zip:
Country:
Mobile:
Email:
Website:
Description of Photographs & Location:
Notes:
Date:
Model's Signature:
Photographer:
Email:
Website:
Mobile:
One release for the model and one for the photographer.
