Model Release Form

Model Image Release Form

* Indicates required field

Clients Name: *

Telephone number *

Address *

Name/DOB's of those being photographed (inc. adults) *

First

Last

Name/DOB *

First

Last

Name/DOB *

First

Last

Name/DOB *

First

Last

Name/DOB *

First

Last

Name/DOB *

First

Last

Email address *

Date of photo shoot *

I understand that the Company wishes to use the photographs taken during the photo shoot named above (“Photographs”) featuring the persons listed as Models. I confirm I am the parent or guardian of any children listed as Models for the purposes set out below.

I confirm that:

1. Subject to clause 2, I grant the Company exclusive permission to use the Photographs throughout the world for the following specified purposes:

1.1. in the Company’s printed publications, presentations, promotional materials (including but not limited to leaflets, brochures, stickers, bookmarks, posters, factsheets, calendars);
1.2. in the digital advertising of the Company’s goods or services
1.3. in social media forums such as Instagram, Pinterest and Facebook; or
1.4. on the Company’s website; or
1.5. in mentoring sessions; or
1.6. in professional competitions as set up by the Guild of Photographers, or other such similar organsations.
(“Specified Purposes”).

2. I do not object to the Company:

2.1. storing copies of the Photographs for the Specified Purposes or to it storing my contact details on its database in case it needs to contact me.

3. The consents granted in this agreement are valid for a period of seven years from the Photo Shoot Date, following which the consents automatically expire. I understand that I may withdraw any or all of my consents at any time, and in relation to any specific media, by advising the Company in writing. However, if I withdraw my consent to some or all of the Specified Purposes in circumstances where I received compensation or complimentary or discounted Package in exchange for those consents, I will reimburse the Company for any specific costs incurred by the Company to undertake the Photo Shoot (for example, the cost of hiring props or reserving a specific location), refund any amounts received in compensation and pay such amount as reflects the full value of the Photographs (in digital or print format) I received, less any amount I have already paid towards the Package.

4. The consents granted in this agreement only solely to the Photographs and do not apply to the names, ages or other personal information relating to the Models. The Company will not include any personal information relating to the Models, other than the Photograph itself, first name and age, in any publication featuring a Photograph. However, the Models may be identifiable in the Photographs and the Company is not responsible for the conduct of any third party arising from identification of a Model. The Company is the sole owner of the copyright in the Photographs and no compensation is payable to any person for use of the Photographs by the Company in accordance with these consents. The Company may crop, resize, edit, retouch, manipulate or otherwise alter the Photographs in its sole discretion.

This agreement and any dispute or claim arising out of or in connection with it or its subject matter or formation (including non-contractual disputes or claims) shall be governed by and construed in accordance with the law of England and Wales. Each party irrevocably agrees that the courts of England and Wales shall have exclusive jurisdiction to settle any dispute or claim arising out of or in connection with this agreement or its subject matter or formation (including non-contractual disputes or claims).

I agree to the above *

Yes

Signed by *

First

Last

Date *

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Model Image Release Form

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