Model Photo Copyright Release Form

Photographer's Name

Enter the name of the Photographer

Photographer's Name

First

Last

Photographer's Address

Enter the Address of the Photographer

Photographer's Address

Street Address

Address Line 2

City

State

ZIP Code

Photographer's Phone Number

Enter the Phone Number of the Photographer

Photographer's Phone Number

Model's Name

Enter the Name of the Model

Model's Name

First

Last

Model's Address

Enter the address of the Model

Model's Address

Street Address

Address Line 2

City

State

ZIP Code

Please enter your address.

Model's Telephone Number

Enter the Telephone Number of the Model

Model's Phone Number

Photo Shoot Date

Photo Shoot Location

Enter the location where the photographs will be taken

Compensation

How much will the Model be Paid?

$

How much will the Model be paid?

$

Specify how the Model will be compensated

Model's Age

Is the Model 18 years of age or older?

YesNo

A parent or legal guardian will need to also sign this document if the Model is not 18 years of age or older.

Name of Parent/guardian

First

Last

Address of Parent/guardian

Street Address

Address Line 2

City

State

ZIP Code

Please enter your address.

Phone Number of Parent/guardian

Special Conditions

Are there any special conditions on usage agreed between the model and photographer?

YesNo

Describe the Special Conditions

Signatures

Model's Signature

Clear

Please write your signature to the area above.

Photographer's Signature

Clear

Please write your signature to the area above.

Parent/guardian Signature

Clear

Please write your signature to the area above.