Contact me:

Model Release Form
(To be completed once photoshoot has been booked)

To the Photographer: Samantha Dawn

Address: 106 Baker Avenue, Arnold, Nottingham, NG5 8FU

Phone: 07465983323

From the model: (Name)

Address

Date of Birth

Month

Day

Year

Date of Photoshoot

Month

Day

Year

Location: 106 Baker Avenue, Arnold, Nottingham, NG5 8FU

I, the model, grant you, the photographer, usage of the photographs subject to the following conditions:

I understand that the photographs taken of me during this session can be used wholly or in part in any publication (commercial or otherwise), portfolio or public display.

The photographs may be used to represent an imaginary person or any wording associated will not be attributed to me unless my name is specifically mentioned

Any special conditions on usage agreed between the model and the photographer:

Model Signature

Signature field is empty.

Photographer Signature:

(both parties to sign here to agree these special conditions)

I acknowledge that by signing this form, subject to the usage restrictions above, I give up all claim of ownership of the photographs, and assign copyright to the photographer named above. No further payment will be due. Use of the photographs may be granted to third parties: however the photographys will remain the property of the photographer.

I have read this form carefully and fully understand the implications. I am 18 years old or over.

Signature

Signature field is empty.

Date

Month

Day

Year

If the model is under 18 years of age, a parent or legal guardian must sign.

Parent / Guardian Signature

Signature field is empty.

Date

Month

Day

Year

Contact me:

Model Release Form (To be completed once photoshoot has been booked)

Model Release Form
(To be completed once photoshoot has been booked)