Model Release Form
About the Release Form
Who is Model?
Who is Content Creator?
Release Details
Content Details
Complete the Document
Format & Signatures
Who is Model?
Indicate the Model's full name:
Indicate the Model's full residential address:
The Model's age is:
Above 18 years of age
Below 18 years of age
As the Model is under the age of 18, provide the full name of the parent or legal guardian who signs this release on the Model’s behalf:
Select the date on which this release form is signed:
Who is Content Creator?
The content creator in possession of the Model’s images is:
Photographer
Videographer
Both
Indicate the photographer's full name:
Indicate the photographer's business address:
Indicate the videographer's full name:
Indicate the videographer's business address:
Release Details
Do you authorize the content creator to use the Model’s name along with their image and/or video?
Yes
No
Do you authorize the use of a fictitious or stage name for the Model in the image and/or video?
Yes
No
Does the content featuring the Model include partial or full nudity?
No
Yes
The scope of this release applies:
worldwide
within specific territory only
Specify the name(s) of a town, city, state, country, where this release shall be effective:
Content Details
Select the date on which the content with the Model's image, likeness or appearance was created:
Provide a detailed description of the content in which the Model’s image, likeness, or appearance is featured:
!
Such a content may include photos, videos, digital art or any other forms of art.
Select the state whose laws shall apply to this release form:
Choose option
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Do you want to add a Model's signature?
Yes
No
Add a Model's signature:
Save signature
Clean
Edit signature
Select a document's format:
PDF
DOCX
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Submit
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