In consideration of _________________________ Dollars ($ ), receipt of which is acknowledged, I, ______________________________, do hereby give ______________________________, his or her assigns, licensees, and legal representatives, the irrevocable right to use my name (or any fictional name), picture, portrait, or photograph in all forms and media and in all manners, including composite or distorted representations, for advertising, trade, or any other lawful purposes, and I waive any right to inspect or approve the finished version(s), including written copy that may be created in connection therewith. I am of full age.* I have read this release and am fully familiar with its contents.

______________________ ____________________________

Witness                                 Model ______________________

Address                                 Address 

Date , 19____

-------------------------------------------------------------------------------

Consent (if applicable*)_________________________________

I am the parent or guardian of the minor named above and have the legal authority to execute the above release. I approve the foregoing and waive any rights in the premises.

________________________ ______________________________

Parent or Guardian                                      

________________________ ______________________________

________________________ ______________________________

Address                                         Address                                               

Witness                                    Date _{_______________} , 19____

* Delete this sentence if the subject is a minor. The parent or guardian must then sign the consent.