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Minnesota Model Release Form 2

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This form is provided by Saint Mary

Minnesota Model Release Form 2
Minnesota Model Release Form 2
MODEL RELEASE
I, (please print your name) _______________________________________________________________ ,
give Saint Mary’s University of Minnesota, the absolute right and permission to use photographs, video or
audio taken of me in its promotional materials and publicity efforts, without further notice to me.
I understand that the photographs may be used in recruiting brochures, newsletters, magazines, other
publications, print ads, direct-mail pieces, electronic media (e.g. video, CD-ROM, Internet/www, websites),
or other forms of promotion.
I hereby waive any right to inspect or approve the finished photographs or printed or electronic matter
that may be used in conjunction with them now or in the future, whether that use is known to me or
unknown. I waive any right to royalties or other compensation arising from or related to the use of the
photographs, footage or recording.
I hereby release, Saint Mary’s University of Minnesota, and its officers, agents or employees, including any
firm publishing and/or distributing the finished product in whole or in part, whether on paper or via
electronic media, from and against any claims, damages or liability arising from or related to the use of the
photographs, footage or recording including but not limited to any misuse, distortion, blurring, alteration,
optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced
in taking, processing, reduction or production of the finished product, its publication or distribution.
I am 18 years of age or older and I am competent to contract in my own name. I have read this release
before signing below, and I fully understand the contents, meaning and impact of this release.
Signature _________________________________________________________________________________
Address __________________________________________________________________________________
City _____________________________________ State ___________ Zip ___________________________
Phone (_______) ____________________________________________ Date __________________________
If under 18 years of age, parent or guardian must authorize permission to use photographs or
recordings.
Signature of Parent or Guardian ______________________________________________________________
Address __________________________________________________________________________________
City _____________________________________ State ___________ Zip ___________________________
Phone (_______) ____________________________________________ Date __________________________
1/09
Minnesota Model Release Form 2