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OUR KIDS EDITION FEATURING LAURENOLIVIA TALKSHOW

MEDIA RELEASE FORM – PHOTOGRAPHS AND/OR VIDEO


I hereby grant Our Kids Edition...featuring LaurenOlivia Talkshow, hereinafter, referred to as “OKE” the absolute and irrevocable right and permission, in respect of the photographs and/or video taken of me alone or with others, to use, re-use, publish, and re-publish the same in whole or in part, individually or in conjunction with other photographs or video, and in conjunction with any printed matter, or electronic matter, in any and all media now or hereafter known, and for any purpose whatsoever; and to use my name in conjunction therewith if the "OKE" so chooses.

I hereby release and discharge the "OKE" from any and all claims and demands arising out of or in connection with the use of the photographs or video, including without limitation any and all claims for libel or invasion of privacy.

This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of the "OKE Production" .

I am of full age (18) and have the right to contract in my own name. If I am not yet 18 years of age, a parent or guardian has authorized my signature. I have read the foregoing and fully understand the
contents thereof. The release shall be binding upon me and my heirs, legal representatives, and assigns.

Name (print): ______________________________________________________________
Date: _____________________________________________________________________

Name (signature): __________________________________________________________
Phone: ____________________________________________________________________
E-mail: ____________________________________________________________________
Witness Name (print): _______________________________________________________
Date: _____________________________________________________________________

Name (signature): __________________________________________________________
Parent/Guardian Name (print): _______________________________________________
Date: _____________________________________________________________________
Name (signature): __________________________________________________________
Phone: ____________________________________________________________________
E-mail: ____________________________________________________________________

 
OUR KIDS EDITION FEATURING LAURENOLIVIA TALKSHOW
MEDIA RELEASE FORM
PHOTOGRAPHS & VIDEO

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