Model Release

PHOTOGRAPHER Amanda Reelick Email: amanda@amandareelick.com Phone: 021 623 272 MODEL’S CONSENT For valuable consideration which I hereby acknowledge, I grant the person or entity photographing or recording me (“Photographer”) and its licensees and assignees full permission to license and/or use any photographs, film or recording (“Works”) taken of me (including my appearance, likeness and form), for any purpose whatsoever (including, but not limited to, advertising, packaging, marketing, and promotion, for any product or service). The Works may be cropped, altered, transformed or reproduced in any way, in any current or future media (including, but not limited to, print, TV, fi lm, digital and the internet), and may also be combined with any other works or text. I agree that I have no rights or copyright in the Works (and any derivative works). I hereby release the Photographer and its licensees and assignees from any and all claims and demands in connection with the Works or their future use. I understand that where readily retrievable, I may access any personal information of mine and may correct any personal details provided by me. I am over 18 years of age and legally entitled to grant this consent. *

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Ethnicity information is requested for descriptive purposes only, and serves as a means of providing more accuracy in assigning search words.

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