MODEL RELEASE

I, _________________________________________________________,

do hereby give _______________________________________________                                                               (photographer)

its assigns, licensees, successors in interest legal representatives,

and heirs 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 the right to inspect or

approve the finished version(s), including written copy that may be created

and appear in connection therewith.  I am of full age.  I have read this

release and am fully familiar with its contents.

Signed:  ____________________________________                                                   (model)

Parent or Guardian (if model is a minor)

__________________________________________

Address:  ______________________________________

________________________________________

 

Date:     _______________________________, 20 ___