I hereby grant Surfingshots.com permission to interview me and/or to use my likeness in photograph(s) /video in any and all of its publications and in any and all other media, whether now known or hereafter existing, controlled by Surfingshots.com, in perpetuity, and for other use by the us. I will make no monetary or other claim against Surfingshots.com for the use of the interview and/or the photograph(s)/video.
Name (print full name)
Signature
Relation to subject (if subject is a minor)
Address
City, State, Zip code
Telephone
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