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Tennessee Model Release Form 2

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EAST TENNESSEE STATE UNIVERSITY Model Release I, _______________________________, do hereby give East Tennessee State University, its assigns, licensees, and legal representatives the irrevocable right to use my name, picture, portrait, or photograph in all forms of media and all manners, including composite representation, for advertising, trade, or any other lawful purposes, and I waive any right to inspect or approve the finished product, including written copy, that may be created in connection therewith. I have read this release and am fully familiar with its contents. SIGNED_______________________________ WITNESS_____________________________ ADDRESS_____________________________ ADDRESS_____________________________ ______________________________________ _____________________________________ DATE_________________________________ DATE________________________________ CONSENT I am the parent and guardian of the minor named above and have the legal authority to execute the above release. I approve the foregoing and waive any rights in the premises. SIGNED________________________________ WITNESS____________________________ ADDRESS______________________________ ADDRESS____________________________ _______________________________________ _____________________________________ DATE__________________________________ DATE_______________________________