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MODEL RELEASE FORM
THIS FORM MUST BE SIGNED BEFORE ANY PHOTOGRAPHY IS UNDERTAKEN
Name of Photographer: Jack Fynan
Job: Photographer
Name of Client: Netflix
Description of Photography: Poster
Date of shoot: 17/04/23
I permit the photographer named above and his/her licensees or assignees to use the photograph(s)and/or
drawings therefrom and any other reproductions or adaptations therefrom either complete or in part alone or in
conjunction with any wording and/or drawings for all uses including publicity and/or merchandising and/or
editorial purposes in any country. Unless otherwise agreed the photograph(s) and any drawings or adaptations
thereof shall be deemed to represent an imaginary person. No changes to the terms of this model release are
accepted unless agreed in writing by the photographer, his/her assignees or licensees or myself.
I understand that I do not have any interest in the copyright to the photograph(s) nor shall I receive any further
payment.
I am over 18 years old. (Models who are under 18 years of age must provide evidence of consent by a parent or
guardian to this model release.)
Name of Model: Aden S
Address of Model: Kent Road
Contact number of Model: N/A Email: 14323@bitterneparkschool.org.uk
Signature of Model: ……………………………………………. Date: 20/03/2023
Signature of Parent or Guardian: ……………………………... Date: 20/03/2023
(if model under 18)

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MODEL RELEASE Aden.docx

  • 1. MODEL RELEASE FORM THIS FORM MUST BE SIGNED BEFORE ANY PHOTOGRAPHY IS UNDERTAKEN Name of Photographer: Jack Fynan Job: Photographer Name of Client: Netflix Description of Photography: Poster Date of shoot: 17/04/23 I permit the photographer named above and his/her licensees or assignees to use the photograph(s)and/or drawings therefrom and any other reproductions or adaptations therefrom either complete or in part alone or in conjunction with any wording and/or drawings for all uses including publicity and/or merchandising and/or editorial purposes in any country. Unless otherwise agreed the photograph(s) and any drawings or adaptations thereof shall be deemed to represent an imaginary person. No changes to the terms of this model release are accepted unless agreed in writing by the photographer, his/her assignees or licensees or myself. I understand that I do not have any interest in the copyright to the photograph(s) nor shall I receive any further payment. I am over 18 years old. (Models who are under 18 years of age must provide evidence of consent by a parent or guardian to this model release.) Name of Model: Aden S Address of Model: Kent Road Contact number of Model: N/A Email: 14323@bitterneparkschool.org.uk Signature of Model: ……………………………………………. Date: 20/03/2023 Signature of Parent or Guardian: ……………………………... Date: 20/03/2023 (if model under 18)