Model Release Form

# MODEL RELEASE FORM

**Date:** {{release_date}}

## PARTIES

**Photographer/Producer:**
{{photographer_name}}
{{photographer_company}}
{{photographer_address}}
{{photographer_email}}

**Model:**
{{model_name}}
{{model_address}}
{{model_phone}}
{{model_email}}

## PROJECT DETAILS

**Project/Shoot Name:** {{project_name}}
**Date of Shoot:** {{shoot_date}}
**Location:** {{shoot_location}}
**Description:** {{project_description}}

## GRANT OF RIGHTS

I, {{model_name}}, hereby grant to {{photographer_name}} and their assigns, licensees, and legal representatives the irrevocable and unrestricted right to use and publish photographs, video, or other recordings of me, or in which I may be included, for:

{{permitted_uses}}

## MEDIA TYPES

This release covers use in:
- Print (magazines, newspapers, books, brochures)
- Digital (websites, social media, apps)
- Advertising and marketing materials
- Film and video productions
- Any other media now known or later developed

## TERRITORY AND DURATION

**Territory:** {{territory}}
**Duration:** {{duration}}

## COMPENSATION

{{compensation_terms}}

## EDITING AND ALTERATIONS

I consent to the editing, alteration, cropping, or enhancement of images as needed, provided such changes do not misrepresent me in a defamatory manner.

## USAGE RESTRICTIONS (if any)

{{usage_restrictions}}

## NAME AND LIKENESS

I authorize the use of my name, image, likeness, and biographical information in connection with the images.

## NO FURTHER APPROVAL

I waive the right to inspect or approve the finished images or any materials that may be used in connection with them.

## RELEASE OF LIABILITY

I release {{photographer_name}} and their assigns from any claims, damages, or liability arising from the use of the images, except for uses expressly prohibited in this release.

## WARRANTIES

I represent and warrant that:
- I am at least 18 years of age
- I have the authority to grant these rights
- I am not under any contractual restriction that would prevent this release

## ADDITIONAL TERMS

{{additional_terms}}

---

**MODEL**

Signature: {{model_signature}}
Name: {{model_name}}
Date: {{model_sign_date}}

---

**PARENT/GUARDIAN (if Model is under 18)**

I am the parent/legal guardian of the minor named above and have the legal authority to execute this release on their behalf.

Signature: {{guardian_signature}}
Name: {{guardian_name}}
Relationship: {{guardian_relationship}}
Date: {{guardian_sign_date}}

---

**PHOTOGRAPHER/PRODUCER**

Signature: {{photographer_signature}}
Name: {{photographer_name}}
Date: {{photographer_sign_date}}

---

**WITNESS**

Signature: {{witness_signature}}
Name: {{witness_name}}
Date: {{witness_date}}