Free model release form 32
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SAMPLE
Photo Model Release Form
I, ______________________________________(please print), grant permission to
___________________________ (church _________________) to reproduce the photographs
taken of me, or members of my family, for the purpose of publication, promotion, illustration,
advertising, or trade, in any manner or in any medium.
I acknowledge that I am

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over the age of 18
the legal guardian of the following

If legal guardian of model(s), please list name(s) here:

Signature

____________________________________________________________________

Date

____________________________________________________________________

Address

____________________________________________________________________
____________________________________________________________________