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Photo/Image/Voice Release Form

This is an example of the photo release form we use in Colorado. Be sure to check this form with your lawyer prior to use.

I _______________________________, do hereby give COUNTRY DINNER PLAYHOUSE their assigns, licenses, and legal representatives the irrevocable right to use my name [or any fictional name], picture, portrait, photograph, image, or voice in all forms and media and in all manners, including composite or purpose, and I waive any right to inspect or approve the finished product, including written copy, that may be created in connection therewith. I also agree that this releases COUNTRY DINNER PLAYHOUSE and any and all of its representatives from any and all monetary obligations or payments to me or any or all of my authorized representatives for use of video, films, photographs, image and/or voice of myself. I am of full legal age. I have read this release and am fully familiar with its contents.

Name

 

Signed

 

Address

 

Date

 

Witness

 

Signed

 

Address

 

Date

 

Consent for Minor

I am the parent or legal guardian of the minor named above and have the legal authority to execute the above release. I approve the foregoing and waive any rights in the premises.

Name

 

Signed

 

Address

 

Date

 

Witness

 

Signed

 

Address

 

Date

 

 

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