Model Release

Australian Model Release Form (AIPP)

Model Release Form


AUSTRALIAN INSTITUTE OF PROFESSIONAL PHOTOGRAPHY LTD A.C.N. 050 167 498 A.B.N. 77 050 167 498
AIPP NATIONAL OFFICE: PO BOX 372, NORTH MELBOURNE VICTORIA, 3051 TEL: 1800 686 696 FAX: (03) 9329 9933
THIS FORM MUST BE SIGNED BEFORE ANY PHOTOGRAPHY IS UNDERTAKEN
______________________________________________________________________
Name of Photographer…………………………………….. Job /Series No…………………
Name of Advertising Agency
Or Client (if assignment)…………………………………… Order No. ………………………
Description of Date of
Photography………………………………………………… Photography …………………..
______________________________________________________________________
I permit the photographer named above and his/her licensees or assignees to use the photograph(s)and/or drawings therefrom and any other reproductions or adaptations therefrom either complete or in part alone or in conjunction with any wording and/or drawings for all uses including publicity and/or merchandising and/or editorial purposes in any country. Unless otherwise agreed the photograph(s) and any drawings or adaptations thereof shall be deemed to represent an imaginary person. No changes to the terms of this model release are accepted unless agreed in writing by the photographer, his/her assignees or licensees or myself.
I understand that I do not have any interest in the copyright to the photograph(s) nor shall I receive any further payment.
I am over 18 years old. (Models who are under 18 years of age must provide evidence of consent by a parent or guardian to this model release.)
Name of Model Agency (if any)
……………………………………………………………………………………..…………
Name of Model (capital letters)
…………………………………………………………………….………………………….
Address of Model
…………………………………………………………………………………………..……
Signature of Model ……………………………………………………Date …………………
Signature of Parent or Guardian …………………………………… Date …………………
(if model under 18)
Witness ……………………………………………………………….…Date …………………
This is a basic Model Release. The AIPP suggests you follow your solicitor's advice for your specific requirements.

 

 

If you require a PDF version of this Form, Please send me an Email.

Model Release for Children Template

Model Release for Minors

  

For valuable consideration I hereby give to ________________________________ [photographer] the absolute and irrevocable right and permission with respect to the photographs that he/she has taken of my minor child in which he/she may be included with others:

a) To copyright the same in the photographer’s name or any other name that he/she may select;

b) To use, re-use, publish and re-publish the same in whole or in part, separately or in conjunction with other photographs, in any medium now or hereafter known, and for any purpose whatsoever, including (but not by way of limitation) illustration, promotion, advertising and trade, and;

c) To use my name or my child’s name in connection therewith if he/she so decides.

I hereby release and discharge photographer from all and any claims and demands ensuing from or in connection with the use of the photographs, including any and all claims for libel and invasion of privacy.

This authorization and release shall inure to the benefit of the legal representatives, licensees and assigns of the photographer as well as the person(s) for whom he/she took the photographs.

I have read the foregoing and fully understand the contents hereof. I represent that I am the [parent/guardian] of the named model below. For value received, I hereby consent to the foregoing on his/her behalf.

Dated: _______________________________________

Minor's Name:__________________________________

Parent or Guardian Name:________________________

 

Signature or Parent/Guardian: _____________________

Address:______________________________________

City:__________________________________________

State/Zip:______________________________________

Phone:________________________________________

Parent’s Email Address: __________________________

Model Release Template

Model Release

  

In consideration of my engagement as a model, upon the terms herewith stated, I hereby give to _____________________________ [photographer] his/her heirs, legal representatives and assigns, those for whom the photographer is acting, and those acting with his/her authority and permission:

a)  the unrestricted right and permission to copyright and use, re-use, publish, and republish photographic portraits or pictures of me or in which I may be included intact or in part, composite or distorted in character or form, without restriction as to changes or transformations in conjunction with my own or a fictitious name, or reproduction hereof in color or otherwise, made through any and all media now or hereafter known for illustration, art, promotion, advertising, trade, or any other purpose whatsoever.

b)  I also permit the use of any printed material in connection therewith.

c)  I hereby relinquish any right that I may have to examine or approve the completed product or products or the advertising copy or printed matter that may be used in conjunction therewith or the use to which it may be applied.

d)  I hereby release, discharge and agree to save harmless [photographer], his/her heirs, legal representatives or assigns, and all persons functioning under his/her permission or authority, or those for whom he/she is functioning, from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of said picture or in any subsequent processing thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy.

e)  I hereby affirm that I am over the age of majority and have the right to contract in my own name. I have read the above authorization, release and agreement, prior to its execution; I fully understand the contents thereof. This agreement shall be binding upon me and my heirs, legal representatives and assigns.


Print Name: _________________________________                                                         

Signed:______________________________________

 

Dated: ______________________________________


Address:_____________________________________

City:________________________________________

State/Zip:____________________________________

 

Phone:______________________________________

 

Email: ______________________________________