Washington Model Release Form 2
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MODEL RELEASE FORM

I, ___________________________________ hereby release Washington Academy,
Parent/Guardian

its agents and associates to unlimited use of school related video and photographs
of my son/daughter, ___________________________________ for use in
Student’s Name

school related publications, posters, manuscripts and press releases.

_ _____________________________________________ __________________
Signature of Parent/Guardian Date

www.washingtonacademy.org

P.O. Box 190, 66 cutler road

East Machias, Maine 04630

USA

(207) 255-8301