Release Form

I hereby release

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from any and all claims which I may have by

reason of the use and public display of my name, voice, and/or picture in a an educational video tentatively called

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I also authorize

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(the title of which is subject to change at the discretion of the producer(s)). to use my name, voice, and/or picture in publicity

materials related to the promotion of said program. I hereby grant and release all right, title, and interest in said program to

M(>Vtl a Dan re roo..t..J

.the producer(s) of this educational video

Name

Signature

Date

Address

City, State, Zip

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Phone

Release Form
from any and all claims which I may have by reason of the use and public display of my name, voice, and/or picture in a an educational video tentatively called

I'\tQ "( OJ.fu

I also authorize

(the title of which is subject to change at the discretion of the producer(s)).

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to use my name, voice, and/or picture in publicity

materials related to the promotion of said program. I hereby grant and release all right, title, and interest in said program to

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,the producer(s) of this educational video

Signatur

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Phone

Release Form
from any and all claims which I may have by reason of the use and public display of my name, voice, and/or picture in a an educational video tentatively called

materials related to the promotion of said program. I hereby grant and release all right, title, and interest in said program to

lJQV}[.Q' rfet.Y

,the producer(s) ofthis educational video

Date

ASU
570
Phone

Box

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City, State, Zip

Release Form
I hereby release

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from any and all claims which I may have by

reason of the use and public display of my name, voice, and/or picture in a an educational video tentatively called

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I also authorize

(the title of which is subject to change at the discretion of the producer(s)). to use my name, voice, and/or picture in publicity

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materials related to the promotion of said program. I hereby grant and release all right, title, and interest in said program to

So...f \A_( {, p'.n)'z..ce Q.. A.r\_., the producer(s) ofthis educational video

Name

Signature Date

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We.st

A'ir?,?Phone

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City, State, Zip

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Release Form
I hereby release

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from any and all claims which I may have by

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reason of the use and public display of my name, voice, and/or picture in a an educational video tentatively called

YCU.+b COnYlKh'on (the title of which is subject to change at the discretion of the producer(s)).

I also authorize

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to use my name, voice, and/or picture in publicity

materials related to the promotion of said program. I hereby grant and release all right, title, and interest in said program to

,the producer(s) of this educational video

Name Signature

Date

4/2-S/lLf
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'

Address

City, State, Zip

4s

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(f52g) 7
Phone

72-<17/q