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Project Name

Experimental Photography

I, Nicky Stainthorpe hereby grant Abbie Taylor permission to photograph me. I
further give my irrevocable consent to publish, republish or otherwise transmit the
images of myself in any medium for all purposes throughout the world. I understand
that the images may be altered or modified in any manner.

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Signature
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Date

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Model release form

  • 1. Release Form Project Name Experimental Photography I, Nicky Stainthorpe hereby grant Abbie Taylor permission to photograph me. I further give my irrevocable consent to publish, republish or otherwise transmit the images of myself in any medium for all purposes throughout the world. I understand that the images may be altered or modified in any manner. Model Signature Print Name Date ____________________________________ ____________________________________ ____________________________________ Photographer Signature Print Name Date ____________________________________ ____________________________________ ____________________________________