Model Release Form - Becky Young

Here are two images which show one Model Release form which our artist had to fill out to say that she gives us permission to use her in our video and her song.

Below is what the form says, as the picture are not very clear.


Model Release Form

Name: Becky Young

Date of Birth: 11/11/1991

Contact Nmuber: 01954 200850

Address: 16 Whitegate Close, Swavesey, Cambs, CB24 4tt

Email: dark-angel626@hotmail.co.uk

I give permission to be filmed in Alie and Philippa's music video project.
Yes

I give my permission for Alie and Philippa to use any footage or photographs taken of me for the project, and give permission to have anything with me in it to be shown on the internet. Yes

Signature:......

Date: 2/11/09

I give permission for Alie and Philippa to use the song "Time" in their music video project.

(Then she signed the bottom of the sheet and dated)