Please fill out the following form.


I,                                                                                                                               , herein authorize
Tyler Drew Media LLC. and it's clients the irrevocable and unrestricted right to edit, copy, exhibit, distribute, reproduce and use any photo(s) or video(s) of me, or members of my family, for the lawful purpose of any publication, promotion, illustration, advertising, or trade, in any manner or in any medium.

The authorization I provide herein extends to all languages, formats, and media that have been discovered now or will later be discovered.

Hereby, I also waive my right to approve and/ or inspect a product where I appear or my likeness appears.

I also agree and state that I have been compensated for this use of my likeness and/ or have agreed to these Photo and Video Release conditions without compensation.

I hereby waive all and any rights to all royalties or any other compensation in any form when it comes to the use of the photo(s) or video(s) indicated in this form.

I consent that the materials will be the sole property of Tyler Drew Media LLC. and may not be returned to me.

Furthermore, I grant my permission to use my statements that were given during an interview or during recording, with or without my name, for the purpose of advertising and publicly without restriction.

I release Tyler Drew Media LLC. and its legal representatives from any liabilities, petitions, claims, and causes of actions caused by me or by my heirs, executives or any other party and will hold Tyler Drew Media LLC. and its legal representatives harmless.

I acknowledge that I am

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