Model Release

Name of Photographer: 

Name of Model: 

Agency/Client:

Brand/Product: 

Date of Shoot: 

Description of Shoot: 

Hours of work agreed: 

Fees:

I grant the photographer/agency/client and any licensees or assignees, the absolute right to use the photographs from the above mentioned photographic shoot, for the brand or product described above, solely and exclusively for

Usage: MEDIA , TERRITORY , TIME

(In this case it could have been …Packaging, U.S , 2 years)

I understand I have no interest in the copyright, or any moral rights, in the photograph

I am over 18 years of age

Name of Model: (Print)……………………………….
Signature of Model:…………………………………
Date: ………………………………………………….

In accepting the above release it is the responsibility of the photographer/agency/client not to use or authorise the use of the material except for the above media, territory and time periods. Further usage must be negotiated and agreed beforehand and in writing with the model.