Model Release

Please read the release below, complete the form, sign with your finger, and take a selfie. It takes about two minutes.

Photographer / Filmmaker

Name

Shoot details (optional)

Shoot date (optional) Shoot country & region/state (optional) Shoot description / ref. (optional)

Model information

Full name (print)

Enter your full name.

Date of birth

Enter your date of birth.

Gender Male Female Prefer not to say

Choose an option.

Model (or Parent*) information

Residence address

Enter your address.

City

Required.

State/Province

Required.

Country

Required.

Zip/Postal code

Required.

Phone

Enter a phone number.

Enter a valid email.

Parent / guardian

I am signing as the parent / legal guardian of the Model

Ethnicity (optional)

Requested for descriptive purposes only, to assign more accurate search words. Skip this section if you prefer.

Other (optional)

Signature

Sign with your finger or mouse

Please sign above.

Date signed:

Selfie

Take a clear selfie so the Photographer can match this release to you.

A selfie is required.

Consent

I have read and agree to this Model Release, I agree to sign electronically, and I understand my drawn signature, selfie, timestamp and IP address are recorded as part of this signed document.

You must agree to continue.

Privacy notice

We collect your name, contact details, date of birth, address, signature, selfie, optional ethnicity information and IP address to create and keep a record of this release. The record is stored privately by the Photographer and kept for as long as the Content is used or licensed, which may be indefinitely. It is not published. See the personal-information clause in the release above for how it may be used. To ask about your information, email reuben@reubenkrabbe.com.