Corporate Model Release Form
Grant permission to use a model’s image, likeness, and related media in corporate marketing and advertising materials.
Corporation Name
*
Corporation Contact Person
*
First Name
Last Name
Corporation Email Address
*
example@example.com
Model Name
*
First Name
Last Name
Description of Media to be Used
*
Scope of Permission
*
Marketing materials
Advertising campaigns
Social media
Website
Other
Permission Statement
*
Date of Agreement
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Authorized Representative Signature
*
Submit Release
Submit Release
Should be Empty: