MODEL RELEASE FORM

To the photographer:   	(name)

Address:   	

 	Phone:  	

From the  model:  	(name)

Address:   	

 	Phone:  	

Photographs taken on   	(date)

at   	(location)

In exchange for receiving (check/tick as appropriate):

□ modelling fee in the amount of  	

□ free prints

I, the model, grant you, the photographer, usage of the photographs subject to the following conditions:

●	I understand that the photographs taken of me during  this sessions can  be used wholly or in part  in any publication (commercial or otherwise), portfolio or public display  (delete any that aren't applicable).
●	The photographs may be used to represent an imaginary person and  any wording  associated will not be attributed to me unless my name is specifically mentioned.
●	Any special conditions on usage agreed between the model  and  photographer:

Model:  	

Photographer:  	

both  parties to sign here  to agree these special  conditions.

I acknowledge that by signing this form, subject to the usage restrictions above, I give up all claim of ownership of the photographs, and assign copyright to the photographer named above. No further payment will be due.   Use of the photographs may be granted to third parties, however the photographs will remain the property of the photographer.

I have read this form carefully and fully understand the implications.  I am 18 years old or over.

Signed:  	_(model)	Date:  	

If the  model  is under 18 years of age, a parent or legal  guardian must sign:

Parent/guardian:  	

Date:  	

Address:   	

 	Phone: