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North Carolina Model Release Form 3

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PHOTO/MODEL RELEASE FORM Subject: Location: I grant to Anna Creissen Photography, its owner and representatives the right to take photographs of me and my property in connection with the above-identified subject. I authorize Anna Creissen Photography, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Anna Creissen Photography may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I will make no monetary claim or other claim against Anna Creissen or Anna Creissen Photography for the use of the photographs. I have read and I understand the above: Subject name in print Date (Month/Day/Year) Signature of subject or parent/guardian for minors Name of parent/guardian in print Anna Creissen Photography, LLC PO Box 16007, Chapel Hill, NC 27516-6007, USA