Media Release Form

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Last name

Birthday

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Consent Agreement

By signing this form, I authorize Arshdeep Singh/Affix Pictures to use my image, voice, or written statements in all media formats, including but not limited to: websites, social media, printed materials, and promotional content.

I waive the right to inspect or approve the finished product and understand that no compensation will be provided.

This release is irrevocable, worldwide, and perpetual.

Please check in the boxes.

I give permission to use my image, voice, or name as described above.

I understand this media may be used for commercial or promotional purposes.

I understand that I will not be compensated for this usage.

I waive the right to inspect or approve any material containing my likeness.

I am over 18 years old, OR I have permission from a parent/guardian.

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