Model Release Form
  • About this Agreement
  • Complete the Document

Who is Publisher?

  • Indicate the full legal name of the person or business photographing or filming the model (Publisher):

  • The publisher has:

    !

    ACN is a unique nine-digit number issued by the Australian Securities and Investments Commission to companies registered under the Corporations Act. It identifies a specific company as a legal entity in Australia.

    ABN is an eleven-digit number issued by the Australian Business Register to businesses (including sole traders, partnerships, companies and trusts) for tax and business dealings with the government and other businesses.

  • Indicate the publisher's ACN number:

  • Indicate the publisher's ABN number:

  • Provide the publisher's mailing address:

  • Provide the publisher's contact email address:

  • Provide the publisher's contact phone number:

Who is Model?

  • Indicate the full name of a model who makes this model release:

  • Indicate the model's mailing address:

  • The model is:

    !

    If the model is below 18 years old, this consent form should be signed by either of a model’s parents or a legal guardian.

  • Indicate the full name of the model's legal guardian:

  • Indicate the legal guardian's contact mailing address:

  • Provide the model's contact phone number:

  • Provide the model's contact email address:

  • Provide the legal guardian's contact phone number:

  • Provide the legal guardian's contact email address:

Consent Details

  • This model release form is issued for:

  • Describe in detail the photo and/or video for which this consent is being provided:

  • Does the model consent to the use of their real name in connection with the video and/or photograph?

  • Does the model consent to the use of fictitious names in connection with the video and/or photograph?

  • Does the model consent to the image or video including full or partial nudity?

  • Does the model wish to limit the purposes for which the photos or videos may be used?

  • Describe in detail the purpose or purposes for which the model agrees their photos or videos may be used:

Miscellaneous

  • Select the date on which this model release form is being signed by both parties:

  • Select the laws of a state or territory that shall apply to this model release form:

    !

    The laws of a selected state or territory shall apply to the execution and interpretation of this document. The most common options include:

    – a state or territory where the model is currently residing;
    – a state or territory where the publisher is based.

Select a template's format:

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