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Lewis & Clark Model Release Form

Thank you for agreeing to participate in photography and/or videography for promoting the work of Lewis & Clark (Lewis & Clark College, Lewis & Clark Graduate School of Education and Counseling, Lewis & Clark Law School).

The undersigned hereby authorizes the use and reproduction by Lewis & Clark, or anyone authorized by the college, of any and all photographs, video, or other images taken of the undersigned for purposes deemed appropriate by the college, without compensation.

The undersigned understands that these images may appear in any of the wide variety of formats and media now available to the college or that may be available in the future, including but not limited to print, electronic/online media, and video.

The undersigned acknowledges that all images are the property of Lewis & Clark College.

All fields marked with asterisk (*) are required.

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First and Last name*

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Email*

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Phone*

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Hometown*

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Major*

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Submitting this form serves as my signature approval*

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