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Model Release Form Full Name: MortThanomsap Address: Nene Park Academy Oundle Road Peterborough PE2 7EA Telephone Number: 07943267901 Shoot Location: Nene Park Academy – TV Studio Date: 29/11/2014 I hereby give Arthur Tumbare , the irrevocable and unrestricted right to use and publish video footage or photographs of me that are taken on the above date. These may be used for educational purposes (that may include publishing to a public video forum, such as YouTube or a blog), film production or advertising. Print Name: Mort Thanomsap Signature:

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Mort model release

  • 1. Model Release Form Full Name: MortThanomsap Address: Nene Park Academy Oundle Road Peterborough PE2 7EA Telephone Number: 07943267901 Shoot Location: Nene Park Academy – TV Studio Date: 29/11/2014 I hereby give Arthur Tumbare , the irrevocable and unrestricted right to use and publish video footage or photographs of me that are taken on the above date. These may be used for educational purposes (that may include publishing to a public video forum, such as YouTube or a blog), film production or advertising. Print Name: Mort Thanomsap Signature: