M /T R

advertisement
MODEL/TALENT RELEASE
I hereby grant my consent to Iowa State University Extension and Outreach and/or its
representatives to use my
image
voice
musical recordings as they see fit for educational purposes or for
advertising/marketing of ISU Extension and Outreach and its programs. I waive any right to
inspect, approve or otherwise restrict the use of my image, voice or musical recordings now or
in the future and I will not seek further compensation or royalties from their use.
I affirm that 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 and I fully understand the contents, meaning and impact of this
release.
Date of release
Name (please print)
Address
Phone
Signature
Signature of parent/guardian if under 18 years of age
Project:
Location:
ISUE Employee:
Iowa State University Extension and Outreach | 4-H Youth Building | Ames, Iowa 50011-3630
Download