YOUR COMPANY NAME
YOUR DETAILS
ADULT MODEL RELEASE FORM
Photographer Name:
Model Release Number:
Model Name:
For valuable consideration, hereby received, I irrevocably consent to and authorize the use and reproduction by you, or anyone authorized by you, of any and all photographs which you have this day taken of me, negative or positive, mechanical or electronic, for any purpose whatsoever, without restriction, and without further compensation to me.
All negatives, positives, video or audio tapes, electronic files, together with any prints shall constitute your property, solely and completely.
I hereby release, discharge and save harmless the photographer, his/her representatives, assigns, employees, or any person or corporation acting under the permission of the photographer, including any firm publishing or distributing the finished product, even though the finished product may be distorted, blurred, altered or used in composite forms, in conjunction with factual or fictional text. I hereby waive any right to approve the finished photograph or any copy which might be used in conjunction with the finished photograph.
If I am below the age of majority (18 years of age) in the legal jurisdiction applicable to this agreement, the agreement has been signed or approved by the parent or guardian.
I consent to the inclusion of this Model Release form including the personal details recommended in it being added to the public database owned or operated by YOUR COMPANY and or any entity acting under the permission of YOUR COMPANY.
Models SIGNATURE:
Date:
I hereby certify that I am the parent or legal guardian of the above named model, and for value received I do give my consent without reservations to the forgoing on behalf of him, her, or them.
Parent or Guardian NAME:
Your Relationship to Model:
Parent or Guardian SIGNATURE:
Date:

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