How Do You Serve/ 294 Siemers Driver #1009, Cape Girardeau Missouri 63701

I, being of legal age, hereby give How Do You Serve, their licensees, successors, legal representatives, and assigns the absolute and irrevocable right and permission to use my name and to use, reproduce, edit, exhibit, project, display, copyright, publish and/or resell photography images and/or moving pictures and/or videotaped images of me with or without my voice, or in which I may be included in whole or in part, photographed, taped, videotaped, and/or recorded on How Do You Serve: Paint for a cause and thereafter, and to circulate the same in all forms and media for art, advertising, trade, competition of every description and/or any other lawful purpose whatsoever. I also consent to the use of any printed matter in conjunction therewith.

I hereby waive any right that I may have to inspect and/or approve the finished product or products or the editorial, advertising, or printed copy or soundtrack that may be used in connection therewith and any right that I may have to control the use to which said product, products, copy and/or soundtrack may be applied.

AGREED AND ACCEPTED this 07/24/2024.

First Name: Charlotte



City, State & Zip Code:

Phone: 5403155345


Talent Signature:

By signing, you agree that the above information is correct and you agree to the terms and conditions.

Client Information
Signed on Sat Mar 23 2024 15:01:42 GMT-0500 (Central Daylight Time)
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