Title Page
SafetyCulture Pty Ltd - Video and Photo Release Form
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Model Name
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Address
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Contact Number
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Email Address
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Date of Release
Terms and Conditions
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I permit SafetyCulture Pty Ltd to use the video footage and photos therefrom and any other reproductions or adaptations therefrom for the purpose of promoting SafetyCulture products and services. Unless otherwise agreed, the photograph(s) and any drawings or adaptations thereof shall be deemed to represents an imaginary person. No changes to the terms of this model release are accepted unless agreed in writing by the videographer, his assignees or licensees or myself. I understand that SafetyCulture owns copyright of all images and that I do not have any interest in the copyright or the video nor shall I receive any further payment. I hereby verify that I am over 18 years old.
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Name and signature of model
