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hereby grant to CARL and its legal representatives and assigns, the irrevocable
and unrestricted right to use, distribute, and publish audiotapes and videotapes,
in which I am included, made on (date)______________________________ at (program and place)__________________________________________ __________________________________________________________ for any purpose. I hereby release CARL and its legal representatives and assigns from all claims and liability relating to said audiotapes and videotapes. Name (Print)________________________________________________ Signature___________________________________________________ Address____________________________________________________ City_______________________________________________________ State___________ Zip______________ Witness name (Print)__________________________________________ Witness signature_____________________________________________ Date______________________________ |