Model Release Form

We are excited to have you as part of our Throga’s community and educational content! Please fill out the form below and send your video content to info@throga.com (link to Dropbox or Google Drive is acceptable) at your earliest convenience.

Participant Name*

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Last
Email*

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Participant's Age*
Guardian's Name

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Last
Guardian's Email

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Phone*
Address*

Street Address

City

State / Province / Region

ZIP / Postal Code

Country
Model Release Form*
- I have read and agree to the following terms: I grant Throga LLC (Company) and their legal representatives, the irrevocable and unrestricted right to use video and audio content (Media), which I will provide of myself (or my child, if under 18) at a future date, for editorial, trade, advertising, and any other purpose and in any manner and medium; and to alter and composite Media without restriction and without my inspection or approval. I hereby release Company from all claims and liability relating to said Media.