MODEL & TALENT RELEASE FORM

In consideration of compensation as indicated below, receipt of which is hereby acknowledged, I [insert name] _________________________ (hereafter "Model") do hereby irrevocably authorize Jeff Curley (hereafter "Photographer"), Photographer's legal representatives, assigns, and those acting under Photographer's permission and on Photographer's authority (as in the case of photographers attending a "group shoot") to copyright, publish, and use in conjunction with self-promotion in all forms and media and manners, any depictions of myself made by Photographer or Photographer's representative, in which I may be included in whole or in part, alone or in conjunction with other persons, or composite or distorted in character, or form, or based on or involving any stunt poses, in conjunction with my own or a fictitious name, or reproductions thereof in color or otherwise, or in derivative works made through any medium, where said depictions may include any or all of still, single, multiple or moving photographic images or pictures, video recordings or audio recordings (collectively hereafter the "Depictions."). It is understood, however, that the photographer is not given permission or rights to SELL or PUBLISH for any other means than self-promotion.

Model does hereby waive any right to inspect or approve the finished product or advertising or other copy that may be used in connection therewith or the use to which they may be applied. Model hereby releases and agrees to hold harmless Photographer, his legal representatives, assigns, and all persons acting under his permission or authority, from any liability by virtue of blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of the pictures, or in any processing tending toward the completion of the finished product, unless it can be clearly shown that the publication thereof were maliciously caused, and produced, and published solely for the purpose of subjecting Model to conspicuous ridicule, scandal, reproach, scorn, and indignity.

Model hereby affirms that all poses, positions and situations enacted in the Depictions covered in this release were entered into without force, coercion, or threat whatsoever, and were posed freely by Model with Model's full consent in return for compensation and for Model's own amusement. Model further agrees to hold blameless and free of all accusation of such force or coercion Photographer, his legal representatives, assigns, and those acting under his permission and on his authority.

Model hereby affirms that his/her date of birth is __________________ and that Model is fully able to contract in his/her own name without breach of any prior agreement or applicable law. If a minor under the age of 18, then the parent or legal guardian shall sign this release as well.

Model's compensation in connection with this instrument is:

a) The Photographer will provide copies of images within a reasonable time following the shoot to the Model in the form of a CD, or via download on an ftp site on the Internet. The Photographer shall charge no fee at any time to the Model for this photographic work.

b) The Photographer does hereby grant the Model reproduction rights on all copyrighted images. The Model may use these for their own self-promotion, including publishing and distributing (hardcopy and/or via Internet) said images as long as the Photographers copyright ) notice remains intact, or is otherwise attached or stated with the image.

c) This document also serves as a release from the Photographer to photographic labs providing permission for them to print, on behalf of the model, any images shot by the Photographer and which may or may not contain the Photographers copyright ) warning.

Photographers Signature: ____________________________________ Date: __________

d) RESTRICTION: The Photographer deals strictly with G-to-PG rated images and does not wish any of his photos to be used in conjunction with any nude or adult related material or sites. The photographer also does not provide rights to the Model to use these photos on OneModelPlace.Com. Failure to observe these restrictions shall be considered copyright infringement and may be dealt with according to existing copyright laws.

I have read the above authorization and release prior to its execution and I am fully familiar with and agree to the contents thereof.

Model's Signature: ___________________________________________________ Date: __________________

Model's Email: ___________________________________________

Model's Phone: ___________________________________________

Model's Mailing Address: ______________________________________________________________________

Signature of Parent or Guardian if Model is under 18:

_________________________________________________ Date: ______________

IF YOU ARE WITH AN AGENCY AND THEY REQUIRE:

Talent Agency Name and Address: ____________________________________________________________________________________

Signature of Agent: ___________________________________________ Date: ____________________

TX License #: ________________________