I, John Coffee Hays of 231 East Mill Road, San Antonio, TX 1235 do hereby give Emmy Faustin of 1234 First Avenue, Rock Port Beach, TX 78840 , his or her assigns, licensees, and legal representatives the irrevocable right to use my name (or any fictional name), picture, portrait, or photograph in all forms and media and in all manners, including composite or distorted representations, for instruction, educational, advertising, trade, or any other lawful purposes, and I waive any right to inspect or approve the finished version(s), including written copy that may be created in connection therewith.
I am of full age.* I have read this release and am fully familiar with its contents.
I am the parent or guardian of the minor named above and have the legal authority to execute the above release. I approve the foregoing and waive any rights in the premises.