# Model Release Form Template, Free to Fill

Source: https://nerix.ai/templates/model-release-form

Get a person's written permission to use their photographs or video, with clear limits on use and payment.

Before you send it

The rules on using a person's image, on personal data, and on photographing children differ widely between countries, and some do not allow certain permissions to be given or withdrawn by contract. Anyone under the legal age to sign must have a parent or guardian sign for them, and some countries also need a court or other approval. Check the local law and ask a lawyer if the images will be used in advertising, in a sensitive way, or by a large organisation.

## Fill it in and preview

You are signed in. Fill it in your workspace and it is kept as a document you can send, share and have signed. [Open in your workspace](https://app.nerix.ai/documents/templates/model-release-form)

### Model Release Form

This release is made on 7 November 2026 between:

- **Amira Haddad**, of 27 Elm Court, Manchester M1 5AN, United Kingdom ("the Model"); and

- **Studio Northlight Ltd**, of 3 Foundry Yard, Manchester M4 1QP, United Kingdom ("the Photographer").

Model's email: [amira.haddad@example.com](mailto:amira.haddad@example.com)

## 1. The shoot

The Model has taken part in a photo or video shoot on 5 February 2027 at Studio Northlight, 3 Foundry Yard, Manchester ("the Shoot"), for the spring 2027 catalogue and website of Fern & Field clothing . In this release, "the Images" means all photographs, video, sound recordings and other recordings made of the Model at the Shoot, in whole or in part, and any edited or changed versions of them.

## 2. Permission to use the Images

2.1 The Model gives the Photographer permission to use the Model's image, likeness and appearance, as shown in the Images, and the Model's name where it is used in connection with them, and to edit, crop, retouch and combine the Images in the ordinary way.

2.2 The permission applies only to the following media:

websites, social media, print catalogues, brochures, posters, online and print advertising and press material

2.3 The permission applies in this territory: worldwide , and for this period: 5 years from the date of the shoot . After the period the Photographer will stop making new uses of the Images, but is not required to take back what has already been printed or published.

2.4 The permission is not exclusive, and the Model may take part in other shoots. The Photographer may pass the permission to a person who owns or publishes the Images, and to agencies, printers and licensees working for the Photographer, but only for the uses in this release. The Images may not be sold to another person to use for a different purpose without the Model's written consent.

2.5 The Photographer will not use the Images in a way that is offensive or misleading, or that suggests that the Model supports a political party, a religion, a cause, or a product or service other than the one in section 1. The Images will not be used in pornographic or adult material, and the Model will not be shown in a false or damaging way.

2.6 Nudity and sensitive content

## 3. Ownership

The Photographer owns the copyright and all other rights in the Images. The Model has no right to approve how the Images are edited, and gets no share in them, but may ask in writing to see how they are used.

## 4. Payment

4.1 Payment

4.2 Fee: GBP 250 . The Photographer will pay it within 30 days after the Shoot, unless the parties agree otherwise in writing.

4.3 The Model will receive these copies: 5 edited images within 30 days, for the Model's own portfolio and personal use

## 5. Withdrawing the permission

5.1 The Model may withdraw this permission for the future by written notice to the Photographer, if the law where the Model lives allows this or if the Photographer agrees. After the notice the Photographer will stop new uses of the Images as soon as it reasonably can, and will take them off its own websites and social media accounts within 30 days.

5.2 Withdrawal does not affect a use that has already happened, material that has already been printed, distributed or published in a way that cannot be called back, or a payment that was made. It does not affect permission to hold the Images for the Photographer's records.

5.3 A Model who has been paid is not required to repay the fee on withdrawing, unless the law or the parties agree otherwise in writing.

## 6. Privacy

6.1 The Photographer will keep the Model's contact details and any other personal information the Model gave private, will use them only for the Shoot, for payment and for contact about the Images, and will not sell or give them to others, except where the law requires it.

6.2 The Model is informed that the Images may be published and seen by anyone, may be copied by others, and cannot be fully removed once they are on the internet. The Photographer is responsible for its own use and will not itself publish the Model's address or personal contact details with the Images.

6.3 The Model may ask the Photographer in writing for a copy of the personal information that the Photographer holds about the Model, to correct it, and to delete it when it is no longer needed.

## 7. Promises

7.1 The Model confirms that the Model is at least the age at which a person can sign this release under the law that applies to them, or that a parent or guardian has signed below, and that the Model has the right to give the permission in it and has not made a contract that conflicts with it.

7.2 The Model has read this release, has had the chance to ask questions and to take advice, and signs it freely. The Photographer will treat the Model with respect and will stop the Shoot if the Model asks for a reasonable reason.

## 8. General

This release is the whole agreement about the Images and the Shoot. It may be changed only in writing signed by both parties. If any part of it cannot be enforced, the rest remains in effect. It may be signed in separate copies and electronically.

## 9. Governing law and disputes

This release is governed by the laws of England and Wales . The place for deciding any dispute under this release is Manchester . How disputes are decided

## Signatures

**The Model: Amira Haddad** Signature: ______________ Date: ______________

**Parent or guardian of the Model (required if the Model is under the legal age to sign)** Samir Haddad, father of the Model Name: ______________ Signature: ______________ Date: ______________

**For the Photographer: Studio Northlight Ltd** Name and title: ______________ Signature: ______________ Date: ______________

Templates are a careful starting point, not legal advice. Where the law matters, check what applies where you are.

Personal and family

## What this template is for

A model release form that gives permission to use photographs or video of a person: media, territory, payment, minors, withdrawal and privacy.

It is free to fill in online, needs no account, and downloads as a Word document or a PDF. [See all Personal and family templates](https://nerix.ai/templates/personal)

Personal and family

## What you fill in

The form asks for 19 details. The document fills itself in as you type.

- ### Model: full name For example: Amira Haddad
- ### Model: address For example: 27 Elm Court, Manchester M1 5AN, United Kingdom
- ### Model: email (optional) optional For example: amira.haddad@example.com
- ### Photographer or producer: full name or company name For example: Studio Northlight Ltd
- ### Photographer or producer: address For example: 3 Foundry Yard, Manchester M4 1QP, United Kingdom
- ### Date of the shoot For example: 5 February 2027
- ### Place of the shoot For example: Studio Northlight, 3 Foundry Yard, Manchester
- ### What the images are for For example: the spring 2027 catalogue and website of Fern & Field clothing
- ### Where the images may be used Name the media. Anything not named is not allowed. For example: websites, social media, print catalogues, brochures, posters, online and print advertising and press material
- ### Territory For example: worldwide
- ### How long the permission lasts A number of years, or until the model withdraws under this form. For example: 5 years from the date of the shoot
- ### Payment
- ### Fee (leave empty if unpaid) optional For example: GBP 250
- ### Copies of images the Model will receive (optional) optional For example: 5 edited images within 30 days, for the Model's own portfolio and personal use
- ### Nudity and sensitive content
- ### Parent or guardian, if the Model is a minor (optional) optional For example: Samir Haddad, father of the Model
- ### Country or state whose law applies For example: England and Wales
- ### Place for disputes For example: Manchester
- ### How disputes are decided

Personal and family

## What is inside

The parts of this document, in order.

- 1 1. The shoot
- 2 2. Permission to use the Images
- 3 3. Ownership
- 4 4. Payment
- 5 5. Withdrawing the permission
- 6 6. Privacy
- 7 7. Promises
- 8 8. General
- 9 9. Governing law and disputes
- 10 Signatures

Templates

## How it works

- 01 ### Fill in Type your details in the form. The document fills itself in as you type; click any gap to jump to its field.
- 02 ### Check Read it through. Gaps you have not filled stay marked, so nothing goes out half done.
- 03 ### Download Save it as a Word document to edit further, or as a PDF to send or print.

### Make it yours with AI

Open it in the chat and ask for changes: shorter, firmer, another situation, another language.

[Adapt it with nerix](https://nerix.ai/try?template=model-release-form)

### Was this template helpful?

Personal and family

## Questions people ask

### What details does this template ask for?

The form asks for 19 details, starting with Model: full name, Model: address, Photographer or producer: full name or company name, Photographer or producer: address, Date of the shoot. 4 more are optional.

### Can I download this template as Word or PDF?

Yes. When you have filled in the form, save it as a Word document to keep editing, or as a PDF to send or print. It is free and needs no account.

### Is what I type sent anywhere?

No. What you type stays in your browser while you fill in the document. It only goes to nerix if you choose to open the template in the chat.

### What should I check before I use this template?

The rules on using a person's image, on personal data, and on photographing children differ widely between countries, and some do not allow certain permissions to be given or withdrawn by contract. Anyone under the legal age to sign must have a parent or guardian sign for them, and some countries also need a court or other approval. Check the local law and ask a lawyer if the images will be used in advertising, in a sensitive way, or by a large organisation.

### Are these personal letter templates free?

Yes. Each one is free to fill in and download as Word or PDF, with no account.

### Will an office accept an authorization letter?

Many do, often with a copy of your ID. Some have their own form, so ask the office first. For property or court matters you may need a notarised power of attorney.

### Does a child travel consent letter work for every border?

Rules differ by country and airline. Check what the destination and the airline ask for, and bring ID copies and contact details for both parents.

### Who should sign the letter?

The person giving the consent or statement, with the date. Some offices also want a witness or a notary, so ask before you rely on it.

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[See all Personal and family templates](https://nerix.ai/templates/personal)

Templates

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- [How to Make a Document From a Template](https://nerix.ai/help/make-a-document-from-a-template)
- [Personal and family](https://nerix.ai/templates/personal)
