FICTIONAL MODEL-RELEASE SAMPLE — NOT A SIGNED RELEASE OR GRANT OF RIGHTS — DO NOT RELY ON THIS DOCUMENT
Fieldstone Talent Collective
Fictional Model Management · fieldstonetalent.example

Model Release

Commercial · Editorial · Advertising
Sample grant-of-rights layout — not valid

This fictional section demonstrates where a real model release may describe usage rights. It does not grant Fieldstone Talent Collective, its clients, or anyone else permission to use a person's name, image, likeness, voice, photographs, video, or recordings.

No rights are waived or transferred by this sample. Use a properly reviewed and signed release for an actual project.

Model

Sofia Marchetti
Fieldstone Talent Collective — Editorial
sofia@email.com
(212) 555-0148

The shoot

Aurelle Fragrance — Fall Campaign
Daniel Voss
June 24, 2026

Usage rights granted

Commercial
Editorial
Advertising
Web & digital
Print
Social media
North America
2 years from shoot date
Non-exclusive
$1,500 day rate
SAMPLE SIGNATURE
Model signature
SAMPLE-DATE
SAMPLE WITNESS
Witness signature
SAMPLE WITNESS
Fieldstone Talent Collective · fieldstonetalent.example · FICTIONAL SAMPLE