Bite My Worm. com Release Form
I grant permission to Ronnie Thompson, on behalf of Bite My Worm.Com and its agents or employees, to use photographs taken of me for cartoon tee shirt design and for use on www.CamoSpace.com/BiteMyWorm portfolio and all associated websites. No personal information about the model will be published in any format.

I hereby waive any right to inspect or approve the finished cartoon or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photograph including the cartoon likeness taken from the photograph.

I hereby agree to release, defend, and hold harmless Bite My Worm.com and its agents or employees, from and against any claims, damages or liability arising from or related to the use of photographs, including but not limited to any misuse, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.

I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I full understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.
Date:

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Where was the fish caught? (Water Name, City, State):

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Name( Please Print):

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Signature:

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Signature of guardian

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[ if under 18 years of Age]

To be considered for the cartoon contest please complete this form and mail to:

Capt. Ron
Bite My Worm.com
21484 E. 39th Street South
Broken Arrow, Oklahoma 74014