Program/project title: guest/participant name: (check one) performance: interview: x mos: producer: date: appearance release this release is made to allow (company) to include me as a guest/participant in a production and/or publication...
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Appearance release for good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, i hereby grant to lucky 8 tv, llc and its parents, subsidiaries, licensees, successors, designees, and assigns (collectively,...
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Firearm/shotgun notification of transfer whenever a shotgun or firearm is transferred from one person to another, including to and from dealers, both parties must inform the police within 7 days by recorded delivery. the only time when this is not...
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Client release form graduate department of counseling psychology washington state university i, , agree to be counseled by a practicum/intern student in the department of counseling psychology at washington state university. i further understand...
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Miami dade college, kendall campus division of learning resources, media services department 11011 s.w 104 street miami, fl 33176 room 2206 305-237-2191 fax: 305-237-2896 release for video taping i, hereby grant permission to miami dade print name...
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Ferpa student records release form it is the policy of tulsa technology center (tulsa tech), in accordance with the family educational rights and privacy act of 1974 (ferpa) to withhold personally identifiable information contained in our students...
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Greg a. cisneros, m.d. 33 old kings road north, suite 2 palm coast, fl 32137 phone: 386-446-4141 medical records release form date: doctor or facility: address: i hereby authorize and request you to release the following records in your possession...
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Auburn university office of professional and continuing education photograph release form for valuable consideration, the receipt and sufficiency of which is hereby acknowledged, i do hereby authorize auburn university, and those acting pursuant...
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Model releasefor good and valuable consideration herein acknowledged as received, and by signing this release, i hereby give themunicipal district of lesser slave river no.124 (the md) my permission to license my appearance, likeness and...
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University of maine system release agreement i, , hereby grant and authorize the university of maine system, acting through the university of maine, (hereinafter ums) its employees and agents to make use of, license or assign the use of, my image,...
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Publicity release formi do hereby authorize the learning resources center, the college ofeducation, auburn university and those acting pursuant to its authority to:1. record my participation and appearance on videotape, audiotape, film,photograph...
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Release form i, , authorize jusuru international and those acting pursuant to its authority to make use of my appearance on: campaign: before and after/ testimonials 1. i understand i am not to receive compensation for these images and/or any...
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Release form i hereby authorize pepperdine university and its associates or assignees, or anyone acting under its authority or permission, the irrevocable and unrestricted right and permission to: a) record my participation and appearance on a...
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Standard appearance release & authorization re: engage 2012 student video competition (the media project) i understand that students, engage 2012, and media arts institute (hereafter producers) are preparing stories including audiovisual...
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The university of texas at dallas talent release form for valuable consideration, i do hereby authorize the university of texas at dallas, and those acting pursuant to its authority to: a. record my participation and appearance on videotape,...
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