Exclusive Rights Art Model Release Form

I, ("Model"), hereby grant to ("Artist/Photographer") the exclusive and irrevocable right to use my likeness, image, and name in connection with artworks created on or about:

Date(s) of Session

Location(s)

Rights Granted

I acknowledge and agree that the Artist/Photographer shall have the exclusive rights to create, reproduce, distribute, sell, exhibit, and publicly display artworks (including but not limited to paintings, drawings, photographs, and digital works) derived from or based upon my likeness from the session(s) described above.

I waive any claims to copyright, royalties, or further compensation.

Model affirms that they are over 18 years of age (or have the consent of a parent or legal guardian as signed below).

Model Information

Full Name

Address

Phone

Artist/Photographer Information

Full Name

Address

Phone

Model Signature

Date

Artist/Photographer Signature

Date

For Models under 18 years old

Parent/Guardian Name

Parent/Guardian Signature

Date