ࡱ> 6:5m bjbj88 "ZbZbll r$$$$$       $"$C "C $$X  $$  $1 n 0 N% N%N%C C !d N%lB :  Model Release Eastern Iowa Community College District 101 W. Third St., Davenport, IA 52801-1221 (563) 336-3300 s FAX (563) 336-3350 I,_________________________________________ (print subject's name) do hereby give Eastern Iowa Community College District the irrevocable right to use my name, photograph or video in all forms and in all media and in all manners, without any restriction, and I waive any right to inspect or approve the photograph(s) or finished version(s) incorporating the photograph(s), video(s) including written copy that may be created and appear in connection therewith. I agree that Eastern Iowa Community College District owns the copyright in these photographs and videos and I hereby waive any claims I may have based on any usage of the photographs, videos or works derived therefrom, including but not limited to claims for either invasion of privacy or libel. I am of full age and competent to sign this release. I agree that this release shall be binding on me, my legal representatives, heirs and assigns. I have read this release and am fully familiar with its contents. Signed __________________________________________________________ Address _________________________________________________________ Date _____________________ Phone _______________________ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * For office use only: PROJECT ____________________________________________________ PHOTOGRAPHER ____________________________________________ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * =O 0 ; D   ƵnZHH66#h%YhZ(5CJOJQJ^JaJ#h%Yh5CJOJQJ^JaJ&h%Yh556CJOJQJ^JaJ#h%Yh75CJOJQJ^JaJ#h%YhhK5CJOJQJ^JaJ#h%Yh55CJOJQJ^JaJ h%Yh5CJOJQJ^JaJ h%Yh5CJ,OJQJ^JaJ,h%YCJ,OJQJaJ,hmCJOJQJaJh9`<CJOJQJaJ*jh%YCJOJQJUaJmHnHu=i] ^ \ ] ^  ! gdm   d e 0 K j  nɷ#h%Yhs|5CJOJQJ^JaJ#h%Yh#5CJOJQJ^JaJ#h%Yh75CJOJQJ^JaJ#h%YhZ(5CJOJQJ^JaJ#h%Yh55CJOJQJ^JaJ  gdm.:p#/ =!"#$% n +[F/PNG  IHDR^:sRGBgAMA a pHYsodxPLTE???///333___OOOooo"&14?CNQ]`lnz}Љ֘ܧ⵷3 IDATxo{(;\fwIB (@@mN:6/1-",UN^̯3?ͭlaݿ/vv|hojekxIS4qk-lMߊ|nGtw9 /|{9w/Dh|; o̒3ڳA?(cS Q^Jwd=erVqߘk&d<Wl^߀wl+?bI+8c,XrZ.jqЏ^Ø4x&xLgӟ^YVC6qx|ȭ/2^^+/w6SsTN Mq8:G }*܏cZA: 8;3Kl8jVӃq^Ѐk{xR Nމxnap0skEtdG"\ ¯YٛxYp铓)"mu)stHtiӸ!exU= !HGOδx؋B'.8=BMe =A񖁋] £ׁy7pexb/ʴ"1&JWUd](EXxuxFy~ohF}+5x8{ 5PDN餷^!_Uߟkpؠj?1ԡS")Qy+"(*\SԝcqjðzmX|$xw⽵s^I{ӽ|{IO'Rfg ih~ߍWquG>e-vByw)lvY}[:& 8q"e&(\Eo!Zû!iU9[4* n3)7wZx߶^@uu&Z%Uݗ J RN*aސ0Ɉ5]޾i'50e[U]lPEu$* %IVv\+(;n;Oc= 퇩BUaA} I=.6cqW56熗ijw*z/&aՍ,o/9</M(a?M,4V@MFsGY 29 2q4|u,rxiT3tlk )UޚnW7K{%(Nm?-p{ o؈7tȑ%8u}@峓* 71wO»OJ!%,aRӜ{f~d2՟y%JSiW4eQLxSU1,Xm)LEہÛ{@w˫5ˀ(I rKr޸+m>FTxr$-w{ƀ`("R)g-Xy3ϻW-_/HzP?n055a7"B DpHF "O[x >.&$Vv.H ur}.闆$ _̿$_V> :Ǜr7g^p*p'哵էH?A"E ^"޻q:/|=;T5vN띁w܍7WR06چ2j4Yܖ"4Ixhnz@ަ7m$IQ7uAˤx-=,v9d_,oA~ѩrmctiAI,Kyyrk] l!S!ZGfa>K;==M,ի1}3پ>sϳc:E3v@P~Ds |w<     l,b$ +[F/ 0@2(    c hA. email-logoR`TR`TB S  ?f@3=O00;D  deKKj =O00;D` t.YLRYe57lXU sZ m$ 5 =p u )+lHPQQ39TW/ur',1_;!E,311dkmtRFSstkE hV (v hw!5"L"0{"#M#Nl$0%&l.&3&%'Y'7`' (Z(vv(vC)F)*~+.I.w`.n0191 C3R4O^4u4r5n6'X8:<:;G/;<(G<9`<^$=@N3AJABXCC[`Cj-D@D5.EUEkEw2F8FvF7G BG)]G-zG4IVJJ KK1KrKeLMv:M:M}MQNN{Nv&QFRaRzmRSo}S|TU~VU3WDWvW4X`zXY6Y@Y-GYHbYWmZ[e,\g]O]H4]}_ avbsde]OePf'NgJVh i1iYi}kiuiaj%kEkukBlUm:7n~Cn8o%p/pPpXpfppq7jqxqrr0sds]tuBVubuvv".v w>yZy%z}z{| |h|Q}%}@} h}7~Z~X0UNSI~#A35Xlr)-;f6)LkVP\2>$Zt>uTUo^-mYKi_]3d4yx|1*e+9tTd/"K@ t2>H-|~,m+Df 8_X34xGwcbB5xZX9Yw1rKg.oke7gt&4s9ELw D4J/M(YB3GI|Wr*I| +Y#--CftJ*%Y6 @t%i'XMUh#.HCy=s|}W4giUE)e$r~ 2gg@ 18bqmdzo|_nhKK;Ap&@P@,A7}F5:'. $5nc6^6ZeLlI V*6T\P4/m@@UnknownG*Cx Times New Roman5Symbol3. *Cx ArialCNComic Sans MS5. .[`)TahomaA$BCambria Math"h,ԕgfGB '  !243QHP ?5!xx?] Model Release Form AdministratorHarrison, Nicole Oh+'0 $0 P \ h tModel Release FormAdministratorNormalHarrison, Nicole3Microsoft Office Word@0@"U@a*PropertiesCompObj%r  !"#$& DocumentLibraryFormDocumentLibraryFormDocumentLibraryForm This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision. metaAttributes"/>  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q