Rules & Regulations
Model Release Form
In consideration for value
received, receipt whereof is acknowledged, I hereby give Verbatim Americas, LLC the absolute right and permission to publish, copyright and
use pictures of me in which I may be included in whole or in part, composite or
retouched in character or form.
If the person photographed is
under 18, I certify that I am his or her parent or legal guardian and I give my
consent without reservation to the foregoing on his or her behalf.
Date:_____________________________________
Name:____________________________________
Address:__________________________________
Phone: ____________________________________
Signature:__________________________________