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West Wight Potter

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STORY AND PHOTO RELEASE FORM

International Marine

 

I grant the International Marine/West Wight Potter permission to use my story and/or its likeness and any photographs provided in any and all of its publications, including Web site entries, without payment or other consideration

 

I understand and agree that I have submitted these materials to International Marine/West Wight Potter voluntarily and they will become the property of International Marine/West Wight Potter and will not be returned.

 

I irrevocably authorize International Marine/West Wight Potter and/or its agents to edit, alter, copy, exhibit, publish, distribute or not use my story for purposes of publicizing the International Marine/West Wight Potter or for any other lawful purpose.

 

In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my information appears.

 

Additionally, I understand that I will not receive any royalties or other compensation arising from or related to the use of the information. I hold harmless International Marine/West Wight Potter from any claims, demand, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization or the use of my story, likeness, and photos. I certify by my signature that I am 18 year of age and am competent to contract in my own name.

 

□ By checking this box, I acknowledge that I have read, fully understand, and agree to the contents, meaning, and impact of this release.

 

Printed Name: _______________________________________

 

Signed Name: ________________________________________

Date:_________________________________

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