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Universal Adult Model Release for all
Agencies
In consideration of my engagement as a model, upon the terms herewith stated, I
hereby give to Jacob Yuri Wackerhausen (also know as Yuri Arcurs), his/her
heirs, legal representatives and assigns, those for whom Jacob Yuri Wackerhausen is
acting, and those acting with his/her authority and permission:
a) the unrestricted right and permission to copyright and use, re-use, publish, and
republish photographic portraits or pictures of me or in which I may be included intact
or in part, composite or distorted in character or form, without restriction as to changes
or transformations in conjunction with my own or a fictitious name, or reproduction
hereof in color or otherwise, made through any and all media now or hereafter known for illustration,
art, promotion, advertising, trade, or any other purpose whatsoever.
b) I also permit the use of any printed material in connection therewith.
c) I hereby relinquish any right that I may have to examin