Model Release Form

MODEL RELEASE FORM

For The Louisiana Wildlife Federation

I hereby give permission to

to use my name and

photographic likeness in all forms and media for advertising, exposition displays,

trade, and any other lawful purposes.

Print Name: ___________________ Print Name (spouse): __________________

Signature: ____________________ Signature (spouse): ___________________

Date: ______________

Phone Number:

Guardian Consent For Models under 18:

I am the parent/legal guardian of the following children, and have read this release

and approve of its terms in their behalf.

Printed Name of Child: __________________________________

Guardian Signature: _____________________________________

Date: ___________________

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Parent category: Legal