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Portrait Release Form

Edward Cating
# 304 The Beaver Mill ∙ North Adams ∙ MA  01247
studio 413-884-5018 ∙ home 413-458-2514
edwardcating@yahoo.com

Name(s):                                                                                                    


Mailing Address:

 

 

E-mail:

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I hereby assign full copyright of these images to Edward Cating together with the right of reproduction either wholly or in part. I agree that the Artist, licensees or assignees can use these images either separately or together, wholly or in part and in any medium.

Signed:                                                                        Date:                              

Print Name:                                                                                                        

Parent:                                                                          Date:                             

Print Name: