Appearance Release


Project: Professional Botox & Filler Training (the “Film”)
Production Date(s): February 22nd & 23rd, 2024
Production Location(s): Las Vegas, NV

Person Appearing:  

I authorize SuperVision180 (“Producer”), Producer’s agents, successors, assigns, and designees to record my name, likeness, image, voice, sound effects, interview and performance on film, tape, or otherwise (the "Recording"), edit such Recording as Producer may desire, and incorporate such Recording into the Film, any versions of the Film and all related materials thereof, including but not limited to promotion and advertising materials. It is understood and agreed that Producer shall retain final editorial, artistic, and technical control of the Film and the content of the Film. Producer may use, and authorize others to use, the Film, any portions thereof and the Recording in all markets, manner, formats and media, whether now known or hereafter developed, throughout the world, in perpetuity. Producer, and Producer’s successors and assigns, shall own all right, title and interest, including the copyright, in and to the Film, including the Recording and related materials, to be used and disposed of, without limitation, as Producer shall in Producer’s sole discretion determine.

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Signature Certificate
Document name: Appearance Release
lock iconUnique Document ID: 76d2d360395b34ca5ed46b0e487f8348f0a141a9
Timestamp Audit
May 15, 2023 6:42 am PDTAppearance Release Uploaded by SuperVision180 Medical Training - kitty@supervision180.com IP 68.101.105.166
June 2, 2023 8:33 am PDTSelma Herrera - selma.herrera@supervision180.com added by SuperVision180 Medical Training - support@supervision180.com as a CC'd Recipient Ip: 174.50.239.38
January 30, 2024 10:19 am PDTSelma Herrera - selma.herrera@supervision180.com added by SuperVision180 Medical Training - kitty@supervision180.com as a CC'd Recipient Ip: 47.180.217.180
March 14, 2024 11:18 am PDTSelma Herrera - selma.herrera@supervision180.com added by SuperVision180 Medical Training - kitty@supervision180.com as a CC'd Recipient Ip: 68.101.105.166