Model Release Form


In consideration of the sum of £_______________   the receipt of which is acknowledged

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.   This explicitly includes unrestricted permission to copyright and/or use, and/or publish photographic portraits or pictures of me, and the negatives, transparencies, prints, or digital information pertaining to them, in still, single, multiple, moving or video format, or in which I may be included in whole or in part, or composite, or distorted in form, or reproductions thereof, in color or otherwise, made through any media in his studio or elsewhere for art, commerce or any other lawful purpose.

I hereby waive any right that I may have to inspect and approve the finished product or copy that may be used in connection with an image that the Photographer has taken of me, or the use to which it may be applied.

I further release the Photographer, or others for whom he is acting, from any claims for remuneration associated with any form of damage, foreseen or unforseen, associated with the proper commercial or artistic use of these images.

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