Model Release Form

Date of agreement: 30/6/2020 Shoot date: 30/6/2020

The photographer [print name]: Jude Hounslow

Signature: Jude Hounslow Date: 30/6/2020

The model [print name]: Tilly Hounslow

Signature: Tilly Hounslow Date: 30/6/2020

Engagement:
The model agrees with the photographer to the consent, assignment, waiver and agreement
in return for:

 A payment of £______
 Free prints
 Unpaid modelling experience

Tick as appropriate

Consent:

The model irrevocably consents to the photographer using the photographs produced at the
shoot for:

 Any purpose
 public display
 portfolio display
 non-commercial publication in any media
 commercial publication in any media

Tick as appropriate