Permission to Use Pictures

In consideration for value received, receipt whereof is acknowledged, I hereby give Kevin Smyth Photography the absolute right and permission to publish, copyright and use pictures of me in which I may be included in whole or in part, composite or retouched in character or form, in conjunction with (check those applicable):

check which are applicable

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My own name
A fictiocious name
no name be used

If the person photographed is under 18, I certify that I am his or her parent or legal guardian and I give my consent without reservation to the foregoing on his or her behalf.

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