Model Release Form - Template, Sample Form to Complete Pro · US-law
✓ Valid in United States · drafted to comply with local law
Create your Model Release Form - Template, Sample Form to Complete for use in United States. Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share. This version has been professionally rewritten to comply with local law.
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MODEL RELEASE AGREEMENT
State of ________
This Model Release Agreement (this “Release”) is made and entered into as of ________ (the “Effective Date”), by and between the following parties:
Photographer: ________ (the “Photographer”), with a mailing address at:
________
and
Model: ________ (the “Model”), with a mailing address at:
________
§ 1. Grant of Rights. I, ________, in consideration of the sum of ________ and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, do hereby irrevocably grant and assign to ________, together with their respective legal representatives, agents, licensees, successors, assignees, and transferees (collectively, the “Releasees”), the perpetual, worldwide, royalty-free, and assignable right and permission to use, reuse, publish, republish, reproduce, modify, adapt, distribute, display, transmit, and otherwise exploit, in whole or in part, for any lawful artistic, editorial, or commercial purpose — including, without limitation, advertising, promotion, trade, publication, and illustration — the photographs, images, video, and other media depicting me and/or my property, of the following description:
________
captured on or about ________ (collectively, the “Images”).
§ 4. Waiver of Inspection. I expressly waive any right to inspect or approve the finished Images, copy, or printed or electronic matter that may be used in connection therewith, or any use to which the Images may be applied.
§ 5. Ownership. I acknowledge and agree that the Photographer is and shall remain the sole and exclusive owner of all right, title, and interest, including all copyright, in and to the Images, and that I have no right, title, or interest therein.
§ 6. Binding Effect. This Release shall inure to the benefit of the legal representatives, licensees, heirs, successors, and assignees of the Photographer, and shall be binding upon me and my heirs, executors, administrators, successors, assignees, and legal representatives.
§ 7. Nudity. ________ (indicate whether the work includes nudity). If applicable, I specifically acknowledge and agree that the nature of the work may include full or partial nudity, and I hereby knowingly and voluntarily consent and agree to appear fully or partially nude in the work.
§ 8. Excluded Uses. Notwithstanding the foregoing, the following uses are specifically excluded from this Release:
________
§ 9. Capacity and Representations. I represent and warrant that I am a legally competent adult of full legal age and of sound mind, that I have the right to contract in my own name, and that I have not signed or otherwise granted any rights inconsistent with this Release. I have read this Release in its entirety and understand fully the contents hereof.
§ 10. Entire Agreement; Amendment. This Release constitutes the complete and entire agreement between the parties with respect to the subject matter hereof and supersedes any and all prior or contemporaneous agreements, representations, or understandings, whether written or oral. No modification or amendment of this Release shall be valid or binding unless made in writing and signed by both parties.
§ 11. Governing Law; Venue. This Release shall be governed by and construed in accordance with the laws of the State of ________, without regard to its conflict of laws principles. The parties consent to the exclusive jurisdiction and venue of the state and federal courts located in ________ County, State of ________ for the resolution of any dispute arising out of or relating to this Release.
§ 12. Severability. If any provision of this Release is held to be invalid, illegal, or unenforceable, such provision shall be deemed modified to the minimum extent necessary to render it enforceable, and the remaining provisions shall continue in full force and effect.
§ 13. Voluntary Execution. I affirm that I am signing this Release voluntarily and of my own free will, that I have had the opportunity to seek independent legal advice, and that no oral representations, statements, or inducements apart from this written agreement have been made to me.
EXECUTION
MODEL
Printed Name: ________
Signature: ___________________________________
Date: ________
PHOTOGRAPHER
Printed Name: ________
Signature: ___________________________________
Date: ________
WITNESS / NOTARY ACKNOWLEDGMENT
Witness Name: ________
Witness Signature: ___________________________________
Date: ________
State of ________, County of ________.
Subscribed and sworn to (or affirmed) before me on this ________ by ________, proved to me on the basis of satisfactory evidence to be the person who appeared before me.
Notary Public Signature: ___________________________________
My Commission Expires: ________
Fields you complete are inserted into the document live. This template is general guidance only — not legal advice.