Photograph, Film Or Vocal Recording Release

Name of person being photographed, filmed, or recorded(Required)

First Last

Email(Required)

Phone(Required)

The person being photographed, filmed, or recorded is:(Required)

18 years of age or older

Under the age of 18

Parent/Guardian Name (if under the age of 18)(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date(Required)

Signature(Required)

Signature of Parent/Guardian (if under the age of 18)(Required)

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