Model Release

For valuable consideration received, I grant Katie M. DeWalt Photography and her legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs of me for editorial, trade, advertising and any other purpose and in any manner and medium; and to alter and composite the same without restriction and without my inspection or approval. I hereby release Katie M. DeWalt Photography and her legal representatives and assigns from all claims and liability relating to said photographs.

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MODEL’S SIGNATURE

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PRINT NAME

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MODEL’S DATE OF BIRTH

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ADDRESS

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EMAIL ADDRESS

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DATE OF PHOTOSHOOT

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LEGAL GUARDIAN SIGNATURE (IF UNDER 18)

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PRINT NAME