Model Release Template

I, , for

good and valuable consideration, the receipt of which is hereby acknowledged, hereby irrevocably authorize

to use photographs of me and or my property and authorize him/(her/their and his/her/their assignees),

licensees, legal representatives and transferees to use and publish (with or without my name, company name,

or with a ctitious name) photographs, pictures, portraits or images herein described in any and all forms and

media and in all manners including composite images or distorted representations, and the purposes of publicity,

illustration, commercial art, advertising, publishing (including publishing in electronic form on CDs or internet

websites), for any product or services, or other lawful uses as may be determined by the photographer or studio

name here.

I further waive any and all rights to review or approve any uses of the images, any written copy or nished

product. I am of full legal age and have read and fully understand the terms of this release. (Delete the bold

copy if this is for a minor.)

Description of images

Signed Witness Date

I am the parent or legal guardian of the above mentioned minor and have the legal right and authority to execute

the above release on behalf of the minor.

Signed Witness Date

Model Release

(print name of person giving the release)

(put in name of photographer or studio including location)

Fillable Printable Model Release Template