Photographers: Marchet Butler, Jacob Butler
In exchange for consideration received, I hereby give the photographer(s) permission to use my photographic likeness in all forms and media, and to alter it without restriction. I understand that no additional payment is due to me, and I hereby release the photographer and his/her legal representatives and assigns from all claims and liability relating to this usage. A copy of this release shall be as valid as the original.
Name:
Signature:
Date:
Witness:
Email:
Phone:
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.
Signature:
Date:
Witness:
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