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BAD PIG® Photo Release Form


Date:_____________________________

I hereby give BAD PIG® the unqualified right to take pictures of me,
________________________ (subject's name), or use any pictures I submit to them and to use the these photographs in any lawful manner that they deem appropriate for promotional purposes including but not limited to the BAD PIG® World Wide Web Site (http://badpig.com). I understand that these pictures will be accessible to anyone with Internet access and may be used in promotional and advertising settings, and, the names of subjects may be published. My signature signifies that I have complete and full authority to grant these permissions.

__________________________________
Subject Signature

____________________________________
Name printed

____________________________________
Parent's signature if minor child

_____________________________________________
Address

________________________
City

_______________________,____________
State                                   Zip

(     )________________
Telephone

____________________________________________
Photographer's Signature of Release (if applicable)

Print this form and Mail or FAX to:
www.BadPig.com 9424 Eton Ave. Suite H
Chatsworth, CA 91311


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