I, for good and valuable consideration, the receipt of which is hereby acknowledged, hereby irrevocably authorize Danielle Mavrick (DBA Danielle Mavrick Photography) to use photographs of me and or my property and authorize her and her assignees, licensees, legal representatives and transferees to use and publish photographs, pictures, portraits or images taken during portfolio-building sample sessions at Culver Academies during April, May, and June 2016 in any and all forms and media and in all manners including composite images, and the purposes of publicity, illustration, commercial art, advertising, publishing (including publishing in electronic form on CDs or internet websites), for any product or services, or other lawful uses as may be determined by Danielle Mavrick. I further waive any and all rights to review or approve any uses of the images, any written copy or finished product.

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Model's Name
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I have read and understand the modeling release set forth on this page. *