Model Release

Revised 7/29/05

Release for Use

For good and valuable consideration, the sufficiency of which is hereby acknowledged, I, the undersigned model, do hereby give David Krueger the absolute right to display, publish or sell in his own name, or the name of his company, and to use in any manner, photographic portraits or pictures of me, or in which I may be included in whole or in part, or composite or distorted in character or form, in conjunction with my own or a fictitious name, or reproductions thereof in color or otherwise, made through any media including digital and video, for art, advertising, trade, news, or any other lawful purpose whatsoever and in conjunction with any copy, captions, photograph and headings whatsoever.

I do hereby irrevocably waive any right that I may now have or hereafter acquire, by operation of law or otherwise, to inspect and/or approve the finished product, the printed material or the advertising and/or editorial copy, captions, and headings that may be used in conjunction therewith, or the use to which it may be applied.

I do hereby release, discharge, and agree to save David Krueger, his assigns, heirs or successors, whether individual, corporate or otherwise, and those acting under his authority or permission, from any liability by virtue of any use whatsoever and including any blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of said pictures, or in any processing tending toward the completion of the finished product.

I do hereby warrant that I am of full legal age and have every right to contract in my own name in the above regard and further that I have read the above authorization and release prior to its execution and that I am familiar with the contents thereof. If I am not of legal age, I have so indicated below and the signature of my parent or guardian upon this release, said parent or guardian agrees to indemnify and hold harmless the photographer or publisher from any and all liability whatsoever in connection with relying upon said release agreement.

Description of Shoot:   __________________________________________________________________

Location of Shoot: ____________________________________________    Date of shoot____________

Compensation

Payment in prints only:     Yes     No      (quantity and selection of prints is at the discretion of photographer)

Payment in cash:     Pay Rate $________/hour plus $0.30/mile for ________ miles.     Check # ______

Model Contact Info

Name: ________________________________________

Address: ______________________________________

City, State: _______________________Zip: _________

Phone: _______________________________________

Signature_____________________________________