Individual and or Multi-persons Release Agreement

The parties to this release agreement are: Full Legal Names: _______________________________________________ Password: ______________________________________________________ Telephone Number and Email Address: _______________________________ (Hereinafter referred to as "the Model") AN Full Legal Name & Business: Natasha !ueen "latter# $ !ueen "latter# Photograph# Telephone Number and Email Address: %&'()*+(,&,' !ueen"latter#Photograph#-gmail./om (Hereinafter referred to as "the Photographer") 0hereas for 1aluable /onsideration hereb# a/2nowledged as re/ei1ed3 the Model granted the Photographer permission to photograph and4or film and sound re/ord the Model and furthermore grant permission to use the resulting wor2 ("the 0or2") a//ording to the terms stated hereunder: 5. An# permission granted to the Photographer shall e6tend to his4her su//essors3 legal representati1es3 li/ensees and assigns and shall be irre1o/able and perpetual without an# further or additional /laim for /ompensation b# the Model. '. 7se of the 0or2 shall be unrestri/ted as to lo/ation3 8uantit# or fre8uen/#3 ma# be for an# purpose and in an# medium whatsoe1er3 whether foreseen or unforeseen at this time3 e6/ept where su/h use is in /ontra1ention of the law. *. Permission is spe/ifi/all# granted for the 0or2 to be edited3 altered3 distorted3 used in whole or in part3 in /on9un/tion with other images3 graphi/s3 te6t and sound in an# wa# whatsoe1er and without restri/tions. %. Permission herein granted is absolute and final and shall not be sub9e/t to further inspe/tion or appro1al b# the Model at an# stage in the use of the 0or2. :. 7se of the 0or2 ma# be in /on9un/tion with the Model;s own or fi/titious names.

). The Photographer shall own all rights in the 0or2 whi/h shall a//rue to the benefit of his4her su//essors3 legal representati1es and assigns. <. Notwithstanding the abo1e3 the following uses are spe/ifi/all# noted and agreed to and spe/ifi/ exclusions for use listed here shall ta2e pre/eden/e and restri/t the use of the following photos (Please pla/e the photo title below):

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8. The Model warrants having read and understood this Model Release Agreement and warrants being of full legal age to enter into an agreement.
+. 0ith full 2nowledge of the abo1e3 the Model hereb# releases and shall hold harmless the Photographer and his4her su//essors3 legal representati1es3 li/ensees and assigns from all /laims or damages in/luding but not limited to defamation or 1iolation of right of pri1a/# or publi/it#3 resulting from or asso/iated with the use of the 0or2. 5&. The Model agrees that the pro1isions /ontained herein shall be binding upon the Model and his4her su//essors3 legal representati1es and assigns. 55. =n addition to this agreement3 =3 agree not to hold the photographer and4or its /ompan# responsible for an# damages3 a//idents3 in9uries and4or an# form of mishap that /ould ta2e due to but not limited to m# own negligen/e. = enter the abo1e propert# at m# own ris2 and a//ept responsibilit# for m#self. 5'. This Agreement shall be /onstrued3 interpreted and go1erned in a//ordan/e with the laws of the "tate of Nebras2a and should an# pro1ision of this Agreement be 9udged b# an appropriate /ourt as in1alid3 it shall not affe/t an# of the remaining pro1isions whatsoe1er. 5*. The parties agree that an# or all parts of this agreement ma# be submitted to the other part# in legible and re/ordable ele/troni/ form and upon a/2nowledgement of re/eipt b# the re/ei1ing part# shall be/ome 1alid parts of the agreement. Please list below the minor /hildren in1ol1ed in this photo shoot and the parent>s name gi1ing permission:

Minor>s Name

Parent ?r @uardian>s Name

Aelationship

ate: _____________________ Model;s "ignature: _______________________________ Model;s "ignature: _______________________________ =f more than two models are in1ol1ed the following spa/e is pro1ided for additional signatures for releases. Model;s "ignature: _______________________________ Model;s "ignature: _______________________________ Model;s "ignature: _______________________________

Photographer's Signature: _______________ ate:___________________