Model
Release Form BOSS Retail Catalog
Please
print this form using the print button at the top of your browser.
I, _______________________________________________________ authorize
BOSS (Bob O'Leary Sports Science) to use photos
I have provided or have had taken. I verify that:
1. These photos are of me;
2. I am at least 18 years of age;
3.
I will provide written permission by the owner of the image authorizing
BOSS use of my image;
4. I agree that there are to be no fees, commissions or royalties paid
to me for the use of the photograph(s).
Furthermore, BOSS (Bob O'Leary Sports Science) will not be held liable
for any and all claims resulting from the use of these photos.
I understand that is for a one time use (though a reproduction of the
BOSS Retail Catalog and Calendar may be used by BOSS for promotional
reasons on their website, in advertising material or at trade shows
for an unlimited amount of time).
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Name: _______________________________________________
Address: _____________________________________________
City: ___________________ State: _______ Zip: ____________
Phone: ____________________________________________
Email: _______________________________________________
Signature: ____________________________________________
Date: ___________________________________
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The
images are to be used for: |
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