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Bold phrases are place holders and should be replaced.
Permission for Photography
For valuable consideration received, I grant to Joe Photographer ("Photographer") and his/her legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs of me, or in which I may be included, for editorial, trade, advertising, and any other purpose and in any manner and medium; and to alter and composite the same without restriction and without my inspection or approval. I hereby release Photographer and his/her legal representatives and assigns from all claims and liability relating to said photographs.X |
SIGNATURE
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(SEAL) |
NAME
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DATE OF BIRTH
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TODAY'S DATE
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PHONE
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STREET ADDRESS
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CITY, STATE, ZIP
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X |
IF MINOR, SIGNATURE OF PARENT/GUARDIAN
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