Model Release Form Page 2

If the Model is under 18 years of age, this release form shall be signed by a parent or the legal guardian of the Model:

I confirm that I am the parent / the legal guardian of the Model and that I have read the terms and conditions of this

release and fully understand its contents. I understand that I am free to address any specific questions regarding this

release by submitting those questions in writing prior to signing, and that my failure to do so will be interpreted as a free

and knowledgeable acceptance of the terms and conditions of this release.

Parent / Legal Guardian

Signature

Name

Address

Tel. No.

HIPA | Model Release Form v2.0 | 131014

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Parent category: Legal