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This generic model release form is provided as an HTML page so that it can be conveniently translated in to any of the 58 languages available through this website. Please be aware that automatic translation is far from perfect so it may be necessary to correct or adapt the translated version.

 

 

Name of Studio

Studio Address

Telephone:                     Email:

 

Release for signature by models

 

Name of photographer :

 

Name of agency or client :

 

Product, service or purpose of photographic work :

 

Image numbers :

 

Date the work was undertaken :

 

I, the model, permit the agency, client or photographer and their licensees or assignees to use the listed photographs or images (and/or drawings derived wholly or in part from them), and any other reproductions or adaptations, either complete or in part, alone or in conjunction with any wording and/or drawing, solely and exclusively for:

 

 

  •  Editorial
  • Display material and posters (under 4-sheet)
  •  Exhibition
  •  In (relevant country, (other area) and worldwide
  •  Experimentation including digital modification
  •  Internet (excluding erotic or indecent websites)
  •  Press advertising
 

 

(Model must delete bullet points or portions of text not applicable)

 

I acknowledge receipt of .............. as full payment for the services rendered. I understand that such copyright material shall be deemed to represent an imaginary person unless agreed, in writing, by my agent or myself. I understand that I do not own the copyright of the photographs. *I am over 18 years of age (or the relevant local age of consent). (*Models who are under 18 years of age, or the relevant local age of consent, must produce evidence of consent by their parent or guardian.)

 

 

Name of model (in capitals) :

 

Signature of model:                                                                                                           Date :                                          Signature of witness :

 

 

Address of agent or model(s) :

 

 

 

In accepting the above release the agency/client/photographer undertakes that the copyright material shall be used only in accordance with the terms of this release.

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