Model Release Form
To: Julian Seal Photography
From: (model):................................................................................
Address:....................................................................................................................................................................................
Phone no: .........................................................................Email..................................................................................................
In consideration for receiving free images in return for modelling for photographs taken by you i.e. TFCD.
on......................................................(date),................................................................................................................. (location)
USAGE: I understand that the photographs taken of me during this session can be used wholly or in part in
magazines, books, calendars, internet, portfolios, exhibition and for editorial or advertising/promotional use
(delete any that are not applicable).
The photographs may be used to represent an imaginary person and any wording associated will not be attributed
to me personally unless my name is used.
I acknowledge that by signing this form, subject to restrictions stipulated and agreed, I give up all claims of
ownership, income, editorial control and use of the resulting photographs, and assign all copyright ownership to
the photographer and that no further payment will be due.
Use of the photographs may be granted to third parties; however the photographs will remain the property of
the photographer.
I have read this form carefully and fully understand its meanings and implications.
I acknowledge by signing this form , Julian Seal retains full copyright and authority to publish
the photographs and my agreement with the terms listed above, subject to any special restrictions agreed
and outlined below.
I am 18 years old or over.
Signed:.........................................................................
Date:................................................
Special restriction (Use this area for any special agreements between you, the model,and the photographer)
I do not want the following to be included;
..................................................................................................................................................................................................
Model : ..............................................................................
Photographer : ..............................................................................
Both parties should sign here to note and agree any restrictions.
Please print off
