Model release form3
1
Model Release Form Full Name: Thomas Vincent Address: Oundle Road, Peterborough PE2 7EA Telephone Number: 01733 368300 Shoot Location: Nene Park Academy Date: 5 th December 2014 I hereby give Maria Salemme , the irrevocable and unrestricted right to use and publish video footage or photographs of me that are taken on the above date. These may be used for educational purposes (that may include publishing to a public video forum, such as Youtube or a blog), film production or advertising. Print Name: Thomas Vincent Signature: TomVincent
Transcript of Model release form3
Model Release Form
Full Name: Thomas Vincent
Address: Oundle Road, Peterborough PE2 7EA
Telephone Number: 01733 368300
Shoot Location: Nene Park Academy
Date: 5th December 2014
I hereby give Maria Salemme , the irrevocable and unrestricted right to use and publish video footage or photographs of me that are taken on the above date. These may be used for educational purposes (that may include publishing to a public video forum, such as Youtube or a blog), film production or advertising.
Print Name: Thomas Vincent
Signature: TomVincent
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