Name *

First Name

Last Name

Phone

(###)

###

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Model Release *

1. I grant Aisha Diandra the irrevocable and unrestricted right to use and publish photographs of me for any reason or purpose (such as editorial, promotional & others) on Social Media Platforms, her website (aishadiandra.com), or any other manner or medium. I release all claim to profits that may arise from use of images. 2. I consent to Aisha Diandra altering and compositing the photographs without restriction and without my prior inspection. 3. I hereby release Aisha Diandra and her legal representatives from all claims and liability relating to said photographs.

I AGREE TO THE TERMS ABOVE

Photography Release *

1. I understand that the images I receive from Aisha Diandra are for my personal use only and I must gain written consent from Aisha Diandra if I wish to use the images for profit.

I AGREE TO THE TERMS ABOVE