Pennsylvania Model Release Form 1

Transcript

Model Release I hereby give the Pennsylvania Fish & Boat Commission the right to use photographs taken of me this date for publishing, illustration, advertising, trade, exhibits and promotion, and any other use in any medium for any purpose. I release the Commonwealth of Pennsylvania, the Pennsylvania Fish & Boat Commission and their officers, employees, agents and assigns from any claims and demands arising out of the use of the photographs. I understand that the photographs will be copyrighted in the name of the Pennsylvania Fish & Boat Commission and may be used in conjunction with other photographs, as part of a composite, or in any form whatsoever. I also understand that the Commission may assign its rights or give permission to use the photographs to another party. I am 18 years old or older. Yes _____ No _____ Print Model's Name ____________________________________________________ Model ___________ Signature of Model Address _____________________________________________________________ Street City State ZIP Email _______________________________________________ Witness __________________________________ Signature of Witness Date _____________________________________ * * * * * * * * * If the person signing is under 18 years of age, consent must be given by parent or guardian as follows: I hereby certify that I am the parent or guardian of . Print model's name For the model named above, I do give my consent without reservations to the foregoing on behalf of him or her or them. Signature of Parent or Guardian ___________________________________________ Witnessed by __________________________________________________________ Signature of Witness