Fillable Printable Simple Model Release Form

Simple Model Release Form

Model Release Form

I, ______________________________________________ (model’s name), hereby grant

________________________________________________ (photographer’s name),

his/her legal representatives and assigns (including but not limited to any agency, client,

or publication), irrevocable permission to publish photographs of me taken at:

_________________________________________________________ (Location, date).

These images may be published in any manner, including (but not limited to) calendars,

advertisements, periodicals, and greeting cards. Furthermore, I will hold harmless the

aforementioned photographer and his/her legal representatives and assigns, from

any

liability by virtue of minor cropping that may be required, and colour and exposure shifts

that may occur in reproducing this photograph.

I affirm that I am 18 years of age or older, and competent to sign this release on my own

behalf. I have read this release and fully understand its implications.

Model’s Name __________________________________________________________

Address _______________________________________________________________

City ______________________________ Province ________ Postal Code__________

Country ___________________________

Model’s Signature ___________________________________ Date _______________

Witness’ Name _________________________________________________________

Witness Signature ___________________________________ Date _______________

Release by Parent/Guardian of Minor C

hild

I am the parent or legal guardian of the minor above named, and has legal authority to

execute this release on his/her behalf. I have read and fully understood the contents of

this release, and consent to the use of said photograph based on the contents of this

release.

Parent/Legal Guardian Name ______________________________________________

Parent/Legal Guardian Signature ________________________ Date ______________

Witness’ Name _________________________________________________________

Witness Signature ____________________________________ Date ______________