PHOTO AND VIDEO RELEASE AGREEMENT

August 28, 2023

PHOTO AND VIDEO RELEASE AGREEMENT

I hereby authorize _________ to:
(1) Use my image, likeness, and/or voice on a photographic, video, audio, digital,
electronic, or any other medium for promoting my products or my talents on social
media
(2) Use, reproduce, modify, exhibit and/or distribute any such recording, in whole or in
part, in any manner or medium now known or hereafter developed (including without
limitation, print publications, DVDs, internet) for any purpose that
________ may deem appropriate, including without limitation
promotional or advertising efforts; and
(3) Use my name and biographical material in connection with any such recordings or
uses.
I hereby understand that:

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