Model Release Form - Mabts

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MABTS MODEL/SUBJECT RELEASE FORM
To be used if any of the subjects faces are recognizable in your submitted photos.
Please carry this form with you when taking photos.
PHOTOGRAPHER’S NAME: ___________________________________________
I hereby grant to the photographer, the right and permission to submit my photograph to
Mid-America Baptist Theological Seminary to use, re-use, and publish, photographic
portraits or pictures of me or in which I may be included, in whole or in part, or
composite or distorted in character or form, without restriction as to changes or
alterations from time to time, or reproductions thereof in color or otherwise, and in any
and all media (both print and digital) now or hereafter known, for art, advertising, or any
other legal purpose. I also consent to the use of any printed matter in conjunction
therewith.
I hereby waive any right that I may have to inspect or approve the finished product or
products or the advertising copy or printed matter that may be used in connection
therewith or the use to which it may be applied.
I hereby release, discharge and agree to hold harmless the photographer from any and all
liability that has or may occur or be produced in the taking of said pictures or any
subsequent process thereof, as well as any publication thereof.
_______________________________________________
_______________
Name of person photographed (PLEASE PRINT)
Age (if minor)
_________________________________________
_____________________
Signature of person photographed/videotaped
Date
Or signature of parent/legal guardian if a minor under age of 18
________________________________________________________
Printed name of parent/legal guardian if a minor under age of 18

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