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)



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