"Time For Prints" Model Release Form

In the interest of gaining valuable modelling experience and in exchange for photographs of myself

I __________________________ (Models name, hereafter "Model") do hereby irrevocably authorize 

____________________________ (Photographers name, hereafter "Photographer")

and those acting with Photographer's permission, to use photographs taken by Photographer of myself on 

the date of ________________________ and derivative works based thereupon (collectively hereafter the "Photos") for all lawful purposes subject to the terms and conditions described herein. 

I agree that the aforementioned exchange is for photographs delivered to me by Photographer in the quantity and format described as follows: 

____________________________________ _______________________________________________________

____________________________________ _______________________________________________________

____________________________________ _______________________________________________________

I agree that, while I may use the Photos for purposes related to the promotion of my Modelling business, including but not limited to advertising, portfolios, composite cards, exhibitions, contests, and promotional internet web sites, I will not sell publication rights in any or all of the Photos without Photographer's prior consent. 

Likewise, I authorize Photographer to use the Photos for purposes related to the promotion of Photographer's business, including but not limited to advertising, portfolios, composite cards, exhibitions, contests, and promotional internet web sites, but do not authorize Photographer to sell publication rights in any or all of the Photos except with my prior consent. 

Photographer gives the model "The right to publish" in any media with the following restrictions: The model must always publish the photographers copyright notice every time and anytime the photographs are published. The photographs are to be published "as is" that is, without distortion or changing the photographs original appearance, with the exception of blemishes and other similar touch-ups.

Model hereby releases and agrees to hold harmless Photographer and those acting under his permission, from any liability by virtue of blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of the pictures, or in any processing tending toward the completion of the finished product.

Model hereby affirms that all poses, positions and situations enacted in the Photos covered in this release were entered into without force, coercion, or threat whatsoever, and were posed freely by Model with Model's full consent. Model further agrees to hold blameless and free of all accusation of such force or coercion Photographer, his legal representatives, assigns, and those acting under his permission. 

Model hereby affirms that his/her date of birth is ____________________ and that Model is fully able to contract in his/her own name without breach of any prior agreement or applicable law, including but not limited to prior agreements with modelling and talent agencies. 

I have read the foregoing prior to its execution and I am fully familiar with and agree to the contents thereof. 
_____________________________________ Models Stage Name

_____________________________________ Model's signature _________ Date

_____________________________________ Photographers Signature _________ Date 

____________________________________ ____________________________________ 

____________________________________  Models Contact Information