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Photography Consent & Release Form

Date of birth
Month
Day
Year

Terms

Publishing may include: with or without my name, company name, or with a fictitious name) photographs, pictures, portraits or images herein described in any and all forms and media and in all manners including composite images or distorted representations, and the purposes of publicity, illustration, commercial art, advertising, publishing (including publishing in electronic form on CDs or internet websites), for any product or services, or other lawful uses as may be determined by the photographer or studio named here

I further waive all rights to review or approve any uses of the images, any written copy or finished product. I am of full legal age and have read and fully understand the terms of this release.

6604 Bartrams Forest Lane, Haymarrlet, Virginia 20169

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