Permission for Photography
For valuable consideration received, I grant to
____________________________ ("Photographer") and his/her legal representa-
tives and assigns, the irrevocable and unrestricted right to use and publish photographs of me, or in which I may be included, for
editorial, trade, advertising, and any other purpose and in any manner and medium; and to alter and composite the same without
restriction and without my inspection or approval. I hereby release Photographer and his/her legal representatives and assigns
from all claims and liability relating to said photographs.
___________________________________________________
__________________________________________
MODEL'S SIGNATURE
WITNESS SIGNATURE
___________________________________________________
__________________________________________
PRINT NAME
WITNESS SIGNATURE
___________________________________________________
__________________________________________
MODEL’S DATE OF BIRTH
ADDRESS
___________________________________________________
__________________________________________
ADDRESS
ADDRESS
___________________________________________________
__________________________________________
ADDRESS
TODAY’S DATE
___________________________________________________
EMAIL ADDRESS
___________________________________________________
TODAY’S DATE
___________________________________________________
LEGAL GUARDIAN
SIGNATURE
(if under 18)
___________________________________________________
PRINT NAME
StudioBinder accepts no legal responsibility for the use of StudioBinder templates
Simple Model Release Template StudioBinder Page1