Home > Legal > Release Template > Model Release Template > Wisconsin Model Release Form > Wisconsin Model Release Form 1

Wisconsin Model Release Form 1

At Speedy Template, You can download Wisconsin Model Release Form 1 . There are a few ways to find the forms or templates you need. You can choose forms in your state, use search feature to find the related forms. At the end of each page, there is "Download" button for the forms you are looking form if the forms don't display properly on the page, the Word or Excel or PDF files should give you a better reivew of the page.
This form is provided by the Wisconsin Pony of Americas (WPOAC) to grant the permission of the use and publication of the releasor's still pictures, video and audio recording and textual description.

Wisconsin Model Release Form 1
Model Release Form
Wisconsin POA Club Web Page
I hereby give the Wisconsin Pony of Americas (WPOAC), Their legal representatives and delegates,
including those acting on behalf of the WPOAC, the right and permission to use and/or publish still
pictures, video and audio recording, textual description of me and/or the effects of WPOAC upon me in
conjunction with my own or fictitious name, made through any media, for use in advertising, publicity,
promotion or training.
I hereby warrant and represent that I am of full legal age and have every right to contract in my own name
in the above regard. (If model is a minor, parent or legal guardian must also sign.) I state further that I
have read this authorization, prior to its execution, and that I am fully familiar with and understand the
contents thereof.
_____________________________________________________________________________________
_
Date ___/_____/______
Name:__________________________________________________
Address:________________________________________________
________________________________________________
________________________________________________
________________________________________________
Phone:________________________________
Signature:________________________________________________________________
Minors:
Parent/Guardian Signature:______________________________________________________________
Wisconsin Model Release Form 1