Feel free to fill the form out and submit it. Use your email address as the subject and see how we send a copy of the release to the person filling it out. Be sure to try it from your smart phone as well. Photo Release MPM123 Video File Drop a file here or click to upload Choose File Maximum file size: 209.72MB Photo Release Name * First Last Last Email * Phone * Role Volunteer Vendor Sponsor Entertainer Guest OtherOther Address Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Address Photo Drop a file here or click to upload Choose File Maximum file size: 209.72MB I hereby grant Release123, its designees, agents, and assigns, unlimited permission to use, publish, republish, edit, exhibit, license, and distribute, in any form or media, information about me and reproductions of my likeness (photographic or otherwise), and my voice, with or without identification of me by name, without payment or any other consideration. I further assign all interest in said likeness, including copyright. I am 18 years of age, or older, and am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release. * Yes No Signature * signature keyboard Clear Date * Parent or Legal Guardian Consent if above individual is a minor: I consent and agree, individually and as a parent or legal guardian of the minor named above, to the foregoing terms and provisions. Signature signature keyboard Clear Date Name Name First First Last Last Relationship ParentGuardianOther Relationship Person obtaining the release Person obtaining the release First First Last Last Submit If you are human, leave this field blank.
