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Model Release Form

Please fill out this model release form if you're submitting a photo of people to the Perl 6 museum. Everyone pictured in the photo must submit a copy of the model release form:

  • Description and approximate date of photograph:
  • Link to photograph in this repository (if available):

I permit The Perl Foundation and parties associated with the Perl 6 Museum and their licensees or assignees to use the photograph(s)and/or drawings therefrom and any other reproductions or adaptations therefrom either complete or in part alone or in conjunction with any wording and/or drawings for the purposes of creating the Perl 6 Museum (web, digital, and print editions).

I understand that I do not have any interest in the copyright to the photograph(s) nor shall I receive any further payment. I am over 18 years old. (Models who are under 18 years of age must provide evidence of consent by a parent or guardian to this model release.)

  • Name of Model:
  • Country/City of Model:

Items below are optional optional if the model submits this form as a pull request or a direct commit to the https://github.com/perl6/museum-items repository from their own GitHub account:

  • Signature of Model
  • Date:
  • Witness: