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Media Release & Consent Agreement

Client/model First name

Client/model Last name

Mobile Phone

Please list any requirements or preferences for the reserved day of Filming and Photoshoot

How did you hear about us?

Parent/Guardian Consent (If Talent is under 18): I confirm I am the legal guardian of the minor named above and consent to the terms of this release.

Parent/Guardian Full Name (If model is under 18years of Age)

I confirm that I, the model and/or The parent/guardian of the model am over 18 years of age, I have read and understand this form.

By checking this box and submitting this form, I acknowledge that I have read and agree to the Media Release & Consent Agreement. I grant Troy Massey Media, its constituents, and the associated Brand/Client the irrevocable right to use my likeness, name, and appearance in all forms of media for commercial marketing purposes. I understand that the Content may be edited or digitally altered and that I waive any 'moral rights' or claims to further compensation beyond the agreed-upon consideration.

Signature

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