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Older Revision of Simple Model Release Form

Revision: 20110207_234936 | All Revisions

Simple Model Release Form

In exchange for consideration received, I hereby give permission to ____________________________________________________ to use my name and photographic likeness in all forms and media for advertising, trade, and any other lawful purposes.

Print Name: __________________________________________________

Signature: ___________________________________________________

Date: ________________________________________________________

If Model is under 18:

I, _____________________________________________________, am the parent/legal guardian of the individual named above, I have read this release and approve of its terms.

Print Name: __________________________________________________

Signature: ___________________________________________________

Date: ________________________________________________________

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