NAME TO BE CREDITED FOR PICTURES:

NAME OF THE EVENT:

DATE OF THE EVENT

LOCATION OF THE EVENT:

ANYTHING ELSE THAT I MIGHT NEED TO KNOW ABOUT THE SHOW:

MUST BE FILLED OUT

 I, ________________________  , which is acknowledged, giving Randall Reynolds full rights to do with the pictures at his will. I hereby waive any right that I may have to inspect and approve the finished product or copy that may be used in connection with the pictures.

I further release the Photographs to Randall Reynolds

_________________________          ___________________________

(Your name signature)                (Date)

_________________________________________________

(Phone number)

_________________________________________________

(Address)