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Photo/Video Authorization and Release

_____ Photo/Video Authorization and Releaseby Documatica Legal Forms I, Janet Smith, of 198 Birch St., Seattle Washington, 37462 in consideration of mychild's engagement as a model, authorize Scott Adams (the Photographer ), to use: 1. film photographs2. digital photographs3. motion picture footage4. audio recordings of my child (the Materials ) in accordance with the following terms: THEME OF MATERIALS The Materials will be recorded and used with the understanding that the content ortheme thereof will be the following: Black and white photographs of children on stepsof heritage buildings. LOCATION The Materials will be recorded at or around the following location(s): Art Gallery, 20911th St., Seattle, Washington SCHEDULE The approximate time during which the Materials will be recorded is: August 11-18,2007 Copyright (c) 2007 Used under license by Documatica Legal Forms 1 REPRODUCTION AND USE Scott Adams has the unrestricted right and permission to copyright and use, re-use,publish, and republish the Materials in all forms of media (including printed materials)for art, promotional purposes (including, but not limited to, advertising, publicity,commercial, or display use), illustration, exhibition, editorial, trade, or any otherpurpose whatsoever.

distortion, or use in composite form that may occur or be produced in the process of recording, processing, or publishing the Materials, including any claims for libel or invasion of privacy.

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