Release

his/her assignees, licensees and legal representatives [lie irrevocable right to use my name {or any fictional name) picture or portrait in all forms and media and in all manners, including composite or distorted representations, for advertising, trade, or any other lawful purposes. I waive any right lo inspect or approve the finished product, including written copy, that may be created in connection therewith.

1 have read this release and am fully familiar with its contents.

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