MODEL RELEASE FORM
Chisel Wright
(my address)
Telephone: +44 (0) (my number)

This is an agreement between photographer and model to allow the publication of the photographs from the photographic session detailed below. This does NOT cover any other photographs of the same model taken at any other time.

Session Date: _____________

Session Reference: _____________

Session Description: _________________________________________________

Payment Type: ____________________________________________________

THE AGREEMENT

I consent that Chisel Wright, his clients, agents and assignees, may use these photographs for advertising or commercial purposes.

I understand that I do not own the copyright of these photographs.

Chisel Wright or his licensees or assignees may have unrestricted use of these photographs for whatever purpose they think fit, including retouching or alteration.

I agree that you or your licensees or assignees can use these photographs either separately or together either wholly or in part in anyway that you wish and in any medium. I agree that these photographs or reproductions from them shall be deemed to represent an imaginary person and further agree that you or any person authorized by or acting for you may use these photographs, or any reproduction of them, for advertising purposes or for the purpose of illustrating any wording which you or they may decide to be desirable and agree that no such wording shall be considered to be attributed to me personally unless my name is used. I also promise that, provided my name is not mentioned in connection with any other statement or wording which may be attributed to me personally, not to prosecute or to institute any proceedings, claims or demands against either you or your agents in respect of any of the above mentioned photographs.

I have read this form carefully and fully understand it's meaning and implications.

Signed (by model) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Models Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I am / am not * over 18 years of age. (If under 18 a parent/guardian must sign this form.)
*Please delete as applicable

Signature of Parent/Guardian . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . .