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ADULT and/or FAMILY MODEL and PHOTO RELEASE

LONG FORM

In consideration of my engagement as a model, upon the terms herewith stated, I (we)


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hereby give to PRECISION SHOOTING EQUIPMENT, INC., and/or BROWNING-ARCHERY, and/or ARCHERY RESEARCH, (the
Company) and to its employees, agents, legal representatives and assigns:
a) The unrestricted right and permission to photograph and videotape me (or my minor child) and use my image and or
voice and other reproductions of my physical likeness in and in connection with any and all media now or hereafter
known for exhibition on television, video, Internet, print, illustration, artwork, promotional items, promotion,
advertising, trade, or any other purpose whatsoever.
b) Unrestricted and exclusive copyright to use, re-use, publish, and republish images and voice recordings of me in any
of the afore mentioned media formats, in which I may be included intact or in part, composite or distorted in character
or form, without restriction as to changes or transformations in conjunction with my own or a fictitious name, or
reproduction hereof in color or otherwise, made through any and all media now or hereafter known for the purposes
stated in section A.
c) I further give said company the right to reproduce or incorporate in any manner whatsoever any recordings, videos or
photographs made and provided by my agents or me unless otherwise noted.
(Description of Provided Photo and/or Video -- if none, state none)
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d) I hereby affirm that I am the owner of all copyrights to any media I am providing to The Company, and that I transfer
these rights to The Company. This includes photographs (digital or prints), negatives, video, voice recordings, etc.
e) I hereby relinquish any right that I may have to examine or approve the completed product or products or the
advertising copy or printed matter that may be used in conjunction therewith or the use to which it may be applied.
f) I hereby release, discharge and agree to save harmless [photographer], his/her heirs, legal representatives or
assigns, and all persons functioning under his/her permission or authority, or those for whom he/she is functioning,
from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form whether
intentional or otherwise, that may occur or be produced in the taking of said picture or in any subsequent processing
thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy.
g) I hereby affirm that I am over the age of majority and have the right to contract in my own name, or I am the legal
guardian of the subject. I have read the above authorization, release and agreement, prior to its execution; I fully
understand the contents thereof. This agreement shall be binding upon me and my heirs, legal representatives and
assigns

Dated: ______________________________________________ Additional subjects named above within same family or household.
Name: ______________________________________________
Name: ______________________________________________
Signature: ___________________________________________
Signature: ___________________________________________
Signature of parent or guardian if under 18:
Signature of parent or guardian if under 18:
_____________________________________________________
____________________________________________________
Address: ____________________________________________
City: ________________________________________________
Name: ______________________________________________
State/Zip: ___________________________________________
Signature: ___________________________________________
Phone: _____________________________________________
Signature of parent or guardian if under 18:
_____________________________________________________
Witness: ____________________________________________

FORM: RELEASE, PHOTO and MODEL


REV. 6/2005

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