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Michigan Model Release Form 2

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This form is provided by Northwestern Michigan College to authorize the use of the releasor's video, film or photographs.

Michigan Model Release Form 2
Michigan Model Release Form 2
Model Release Form
I do hereby grant to Northwestern Michigan College the absolute and
irrevocable right and permission, in respect of the video, film or photographs that
are taken or have been taken of me, or in which I may be included with others, to
copyright the same, in NMC’s own name or otherwise; to use, reuse, publish, and
republish the same in whole or in part, individually or in conjunction with other
images, and in conjunction with any print and electronic media, including NMC's
web site) now and hereafter known, and for any purpose whatsoever, for
illustration, promotion, art, advertising and trade, or any other purpose
whatsoever; and to use my name in connection therewith if NMC so chooses.
I hereby release and discharge NMC from any and all claims and demands
arising out of or in connection with the use of the video, film or photographs,
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 NMC.
I am at least 18 years of age and have read the foregoing and fully
understand the contents thereof. This release shall be binding upon me and my
heirs, legal representatives, and assigns.
Date _______________ Project/Event______________________________
Print Name_____________________________________________________
Address _______________________________________________________
City _____________________ State _______________ Zip _____________
E-mail ___________________________________
Daytime Phone ____________________________
Signature _____________________________________________________
Witnessed by ___________________________________________________
Northwestern Michigan College
1701 East Front Street
Traverse City MI 49686
Michigan Model Release Form 2