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Model Release Form
I grant permission to Shana Jocson to use photographs taken of me on the date at the
location listed below for use in its publications, such as posters and magazines, and to use
the photographs on display boards, and to use such photographs in electronic versions of
the same publications or other forms of media.
I hereby waive any right to inspect or approve the finished photographs or printed or
electronic matter that may be used in conjunction with them now or in the future, whether
that use is known to me or unknown, and I waive any right to royalties or other
compensation arising from or related to the use of the photograph.
I am 18 years of age or older and I am competent to contract in my own name. I have read
this release before signing below, and I fully understand the contents, meaning and impact
of this release. I understand that I am free to address any specific questions regarding this
release by submitting those questions in writing prior to signing, and I agree that my failure
to do so will be interpreted as a free and knowledgeable acceptance of the terms of this
release.
Location of Photo: Southampton Central
Date: 25.03.22
Name: Lewis Churchill
Signature of guardian:
(If under 18 years of age)
Model Release Form
I grant permission to Shana Jocson to use photographs taken of me on the date at the
location listed below for use in its publications, such as posters and magazines, and to use
the photographs on display boards, and to use such photographs in electronic versions of
the same publications or other forms of media.
I hereby waive any right to inspect or approve the finished photographs or printed or
electronic matter that may be used in conjunction with them now or in the future, whether
that use is known to me or unknown, and I waive any right to royalties or other
compensation arising from or related to the use of the photograph.
I am 18 years of age or older and I am competent to contract in my own name. I have read
this release before signing below, and I fully understand the contents, meaning and impact
of this release. I understand that I am free to address any specific questions regarding this
release by submitting those questions in writing prior to signing, and I agree that my failure
to do so will be interpreted as a free and knowledgeable acceptance of the terms of this
release.
Location of Photo: Southampton Central
Date: 25.03.22
Name: Chloe Knight
Signature of guardian:
(If under 18 years of age)

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Model Release Form.docx

  • 1. Model Release Form I grant permission to Shana Jocson to use photographs taken of me on the date at the location listed below for use in its publications, such as posters and magazines, and to use the photographs on display boards, and to use such photographs in electronic versions of the same publications or other forms of media. I hereby waive any right to inspect or approve the finished photographs or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photograph. I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release. Location of Photo: Southampton Central Date: 25.03.22 Name: Lewis Churchill Signature of guardian: (If under 18 years of age)
  • 2. Model Release Form I grant permission to Shana Jocson to use photographs taken of me on the date at the location listed below for use in its publications, such as posters and magazines, and to use the photographs on display boards, and to use such photographs in electronic versions of the same publications or other forms of media. I hereby waive any right to inspect or approve the finished photographs or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photograph. I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release. Location of Photo: Southampton Central Date: 25.03.22 Name: Chloe Knight Signature of guardian: (If under 18 years of age)