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MODEL RELEASE FORM
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I (the model) explicitly grant to the
photographer (the photographer)
and to his/her assignees and licensees the
absolute right and
permission to use, publish or sell the
photograph(s) referred to
below, in which I am included, in any
medium, throughout the world,
without any restriction whatsoever as to the
nature of the use or
publication or as to the copy of any printed
matter accompanying
the photograph(s). I understand that the
images
may be altered and I waive the right to approve of any
finished product.
I understand that I do not own the copyright
of the photograph(s) and that
they may not be used in a defamatory way, as
set out by law.
I certify that I am over 18 years of age and
that I have the full legal
right to execute this agreement.
Name of Photographer:
Stephen Hepworth
Desription & Date of Photography:
_____________________________________________
____________________________________________________________________________
Signature of Model:
_____________________________
DATE: _____/_____/ 200____
Name of Model:
__________________________________ Age of
Model: ____________
Model Agency
_________________________________
(if under 18 years of age:) Name of Parent/Guardian
________________________________
Signature of Parent/Guardian
____________________________________________________
Address of model:
_________________________________________________________
__________________________________________________
Post Code _______________
Telephone: _____________________
Email address: ___________________@ ______
Witness: ______________________________________
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