Inklings Staples High School • 70 North Avenue • Westport, Conn. 06880 • Phone (203) 341-1449 • inklingsnews@westport.k12.ct.us
Model Release In exchange for consideration received, I hereby give permission to Inklings to use my name and photographic likeness in all forms and media for advertising trade, and any other lawful purposes.
Print Name: ___________________________________________
Signatures: ____________________________________________
If model is under 18: I, _______________________________, am the parent/guardian of the individual named above, and I have read this release and approve of its terms.
Print Name: ____________________________________________
Signature: ______________________________________________ Date: ____________________________________________________
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