Model Release

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Enter Access PIN

Please enter the PIN provided by your photographer to access this form.

Model Information

Printed Name *

Date of Birth *

Gender *

Ethnicity (Optional)

Street Address *

City *

State *

ZIP Code *

Phone *

Email *

Visual Reference of Model *

Required by Adobe Stock. Take or select a clear photo of the model. Max 10 MB.

📷Tap to take or choose a photoJPG, PNG, HEIC, WEBP — max 10 MB

Parent / Guardian (If Model is a Minor)

If the model is a minor, a parent or legal guardian must complete this section and sign below.

Parent / Guardian Name

Terms & Agreement

For Consideration received and by signing this release, I irrevocably grant to the Artist the right to license and use the Content in any manner, form or medium, for any and all use whatsoever (except pornographic or illegal), which may include art, advertising, promotion, marketing and packaging for any product or service. I agree that:

the Content may be used in combination with other images and may be modified;
I have no rights to inspect or approve the Content or the use to which the Content may be applied;
I have no further right to additional Consideration and will not make claims associated to the Content, for any reason, to the Artist.

I release, discharge, and agree to hold harmless the Artist and her licensees, sub-licensees, successors, and assigns from any liability arising out of or in connection with the use of the Content, including any and all claims for defamation or invasion of privacy or publicity.

I represent and warrant that I am at least 18 years of age and have the full legal capacity to execute this release on my own behalf, or on the behalf of a minor as their parent or legal guardian.

Definitions:
"Artist" means any person or entity photographing, filming, or recording Content.
"Content" means still or motion photographs, audio, or other recordings taken of the model.
"Consideration" means something of value received in exchange for the rights granted.

Model / Parent Signature *

Draw Signature Below

Date of Signature *

Artist Information

Printed Name *

Artist Signature *

Date Signed *

Witness Information

Printed Name *

Witness Signature *

Date Signed *

Recording Session (Optional)

Description & Location

Date of Session

Enter Access PIN

Release Submitted

Model Information

Parent / Guardian (If Model is a Minor)

Terms & Agreement

Model / Parent Signature *

Artist Information

Witness Information

Recording Session (Optional)