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Model Release
For Consideration herein acknowledged as received, and by signing Photographer and Shoot lnformation
this release I hereby give the Photographer / Filmmaker and Assigns
my permission to licnse the Content and to use the Content in any Name:
Media for any purpose (except pomographic or defamatory) which
may include, among others, advertising, promotion, marketing and Shoot Date:
packaging for any product or service. I agree that the Content may be
c,ombined with other images, text, graphics, film, audio, audio-visual Shoot Location / Description:
works; and may be cropped, altered or modified. I acknowledge and
agree that I have consented to publication of my ethnicity(ies) as
indicaled below, but understand that other ethnicities may be
associated with me by the Phoiographer / Filmmaker and / or Assigns Photographer Signature:
for descriptive purposes.

I agree that I have no rights to the Content, and all rights to the
Content belong to the Photographer / Filmmaker and Assigns. I
acknowledge and agree thal I have no further right io additional
Model lnformaticn
consideration or accounting, and that I will make no further claim for
any reason to Photographer / Filmmaker and / or Assigns. I Mo.t{o ttr6BFERZty
acknowledge and agree that this release is binding upon my heirs run rvanre. MO|+R A0
and assigns. I agree that this release is inevocable, worldwide and
perpetual, and will be govemed by the laws (excluding the law of DateorBirth: 15 / 03 / I q8?
contlicts) of the country/state from the following list that is nearest to
the address of the Model (or Parent-) given opposite: New York, Gender: / uate Female
Alberta, England, Australia and New Zealand.
Parent / Guardian Full Name (if under 'l8yrs):
It is agreed that my personal information will not be made publicly
available but may only be used directly in relation to the licensing ot
the Gontent where necessary (e.9. to defend claims, protect rights or
notify trade unions) and may be retained as long as necessary to Street Address:
fullill this purpose, including by being shared with sub-licensees / Sf4kA Ct-) Alm*sr{6ce- illw are- rr+lq
assignees of the Photographer / Filmmaker and transfened to
c? eog q|Ta)rl province
r stare: ?OAu P w*ug
countries with difiering data protection and privacy laws where it may
be stored, accessed and used. I represent and wanant that I am at City:
least 18 years of age and have the full legal capacity to execute this
release. Couniry:HAlaYsr a
Definitions: "ASSIGNS" means a person or any company to whom
pnon". f6 o l>*7.4lTtct
Photographer/Filmmaker has assigned or licensed rights under this
release as well as the licensees of any such person or company, ,*,. a arr"lre.^laq-L,9O@arnC[. cq
'CONSIDERATION'means $1 or something else of value I have
received in exehange for the rights granted by me in this release.
'CONTENT means all photographs, film, audio, or other recording, Ethnicity infunnalion is OPTIONAL ard is requested
still or moving, taken of me as part of the Shoot. "MEDIA" means all fur cbscrigive Flrrc onry, arxC sens as a rneans
media including digital, electronic, print, television, film, radio and of providirg rore mrccy in asignirq search terms.
other media now known or to be invented. "MODEP means me and
includes my appearance, likeness and voice. "PAHENT means the Ethnicity:
parent and/or legal guardian of the Model. Parent and Model are
refened to together as'1" and "me" in this release, as the context Model Signature or Parent i Guardian (if under 18yrs):
dictates. "PHOTOGRAPHER / FILMMAKER" means photographer,
illustrator, filmmaker or cinematographer, or any other person or entity
photographing or recording me. .SHOOT" means the photographic,
film or recording session described in this form.
Date Signed: ec /oq /xts

$@x lnc. Revision Date: Marcfl 14,2014


]:.
Model Release
For Consideration herein aeknowledged as received, and by signing Photographer and Shoot lnformation
this release I hereby give the Photographer / filmmaker and Assigns
my permission to license the Content and to use the Content in any Name:
Media for any purpose (except pomographic or defamatory) which
may include, among others, advertising, promotion, marketing and Shoot Date:
packaging for any product or service. I agree that the Content may be
combined with other images, text, graphics, film, audio, audio-visual Shoot Location / Description:
works; and may be cropped, altered or modilied. I acknowledge and
agree that I have consented to publication of my ethnicity(ies) as
indicated below, but understand that other ethnicities may be
associated with me by the Photographer / Filmmaker and / or Assigns Photographer Signature:
for descriptive purposes.

I agree that I have no rights to the Content, and all rights to the
Content belong to the Photographer / Filmmaker and Assigns. I
acknowledge aM agree that I have no further right to additional
consideration or accounting, and that I will make no further claim for
ilodel lnformation
any reason to Photographer / Filmmaker and / or Assigns. I
run ru"n *, Mot{p
pocFEczz-v Mo*Aa4p
acknowledge and agree that this release is binding upon my heirs
and assigns. I agree that this release is inevocable, worldwide and
perpetual, and will be governed by the laws (excluding the law of DateorBirth: 15 / 03 / I q8?
conflicts) of the country/state from the following list that is nearest to
the address of the Model (or Parent-) given opposite: New York, Gender: / uate Female
Alberta, England, Australia and New Zealand.
Parent / Guardian Full Name (if under l8yrs):
It is agreed that my personal information will not be made publicly
available but may only be used directly in relation to the licensing of
the Content where necessary (e.g. to defeM claims, protect rights or
notify trade unions) and may be retained as long as necessary to Street Address:
lullill this purpose, including by being shared with sub{ic,ensees / sl4l<A ct-) *Lm*srr6cR duv erc- tr+rrr
assignees ot the Photographer / Filmmaker and transfened to
countries with differing data proteclion and privacy laws where it may
be stored, acressed and used. I represent and wanant that I am at City:
q 6a q6tat+tprovince t state: ?o$u P w*ug
least 18 years of age and have the full legal capacity to execute this
release. Country:HAlaYsr a
pnon". fa o l>*+4t +frt
Definitions: "ASSIGNS" means a person or any company to whom
Photographer/Filmmaker has assigned or licensed rights under this
release as well as the licensees of any such person or company. ,*r,. aa arralrcronro-k9O@U*df. crz
'CONSIDERATION'means $1 or something else of value I have
received in exchange for the rights granted by me in this release.
"CONTENT'means all photographs, film, audio, or other recording, Ethnhity infonnafpn is OPTIONALand is requested
still or rnoving, taken of me as part of the Shoot. "MEDIA' means all furdescriptiw Frrpos* only, arxC sefis as a rneans
media including digital, electronic, print, television, film, radio and of providirg rore mrr*y in aeeignirq search terms.
other media now known or to be invented. "MODEP means me and
includes my appearance, likeness and voice. "PAHENP means the Ethnicity:
parent and/or legal guardian ol the Model. Parent and Model are
refened to together as "1" and "me" in this release, as the context Model Signature or Parent / Guardian (if under 18yrs):
dictates. "PHOTOGRAPHER / FILMMAKER" means photographer,
illustrator, filmmaker or cinematographer, or any other person or entity
photographing or recording me. "SHOOT" means the photographic,
film or recording session described in this form.
Date Signed: t c /oq /xts

SO@x lnc. Revision Date: March 14,2014

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