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Blank Model Release

This document is a Photography Model Release form that grants the Photographer rights to use the Model's likeness in various media formats. It outlines the consent of the Model, whether an adult or a minor, and includes clauses on copyright ownership and liability release. The form requires personal details from both the Model and the Photographer, along with signatures to validate the agreement.

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Karolina Stankiewicz
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© © All Rights Reserved
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13 views

Blank Model Release

This document is a Photography Model Release form that grants the Photographer rights to use the Model's likeness in various media formats. It outlines the consent of the Model, whether an adult or a minor, and includes clauses on copyright ownership and liability release. The form requires personal details from both the Model and the Photographer, along with signatures to validate the agreement.

Uploaded by

Karolina Stankiewicz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PHOTOGRAPHY MODEL RELEASE (ADULT & MINOR)

CONSENT:
For good and valuable consideration, the receipt and legal sufficiency of which is hereby acknowledged,
I ______________________________________________________________(“Model”) hereby grant to __________________________________
(the Photographer), the Photographer’s assigns, and those persons acting with the Photographer’s authority and permission, the right to
take and create photographs/videos and other still and/or moving images (in all formats) and other graphical depictions incorporating my
likeness, in any and all media, whether now known or hereafter created (the “Content”).

I hereby agree that all rights in and to the Content, including the copyright, are and shall remain the sole property of the Photographer,
free and clear from any claims by me or anyone acting on my behalf.
The Photographer’s rights include, but are not limited to, the rights, in perpetuity, to:
Use, re-use, publish, and re-publish the Content; Alter, modify or otherwise change the Content in any manner the Photographer
desires; Combine the Content with textual matter and/or with other pictures and/or media; and, Use the Content for illustration,
promotion, art, editorial, advertising, trade, publishing, or any other purpose whatsoever.
I hereby release, discharge, and agree to hold harmless the Photographer, the Photographer’s heirs, legal representatives and assigns,
and all persons acting under the Photographer’s authority or those for whom he/she is acting, from any liability by virtue of any use of
the Content or any changes or alterations made thereto.

Adult:
I hereby warrant that I am of full legal age and have the right to contract in my own name. I have read the above authorization,
release and agreement, prior to its execution, and I am fully familiar with the contents thereof. This release shall be binding upon me
and my heirs, legal representatives and assigns.

Minor:
I warrant and represent that I am the father/mother/guardian (circle one) of ______________________________________________, the
Model above named. I have read the above authorization, release and agreement, prior to its execution, and I am fully familiar with the
contents thereof. This release shall be binding upon me and my heirs, legal representatives and assigns.

MODEL DETAILS (PRINT): PHOTOGRAPHER DETAILS:

Name & Surname: Name & Surname:

Date of birth: Date of birth:

Residence Adress: Residence Adress:

Phone: Phone:

Email: Email:

Model signature & Date: Date of Shoot:

Medium:
Visual Reference (Optional headshot or other reference may
Still Video
be included here. Nude imagery requires a driver license)

Photographer Signature & Date:

WITNESS / PARENT / LEGAL GUARDIAN (PRINT):

Name & Surname:

Signature & Date:

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