MODEL RELEASE: MINOR I, (Please Print)______________________________________ ("MODEL"), and the undersigned parent of the Model, for good and valuable consideration, the receipt of which is acknowledged, give to XYZ Video ("PRODUCER"), its legal representatives, successors, and all persons or corporations acting with its permission, unre- stricted permission to copyright and/or use, and/or publish photo- graphic portraits or pictures of the Model, and the negatives, transparencies, prints, or digital information pertaining to them, in still, single, multiple, moving or video format, or in which the Model may be included in whole or in part, or composite, or distorted in form, or reproductions thereof, in color or otherwise, made through any media in photographer's studio or elsewhere for art, or any other lawful purpose. We hereby waive any right that I may have to inspect and approve the finished product or copy that may be used in connection with an image that the Photographer has taken of the Model, or the use to which it may be applied. We further release PRODUCER, or others for whom PRODUCER is acting, from any claims for remuneration associated with any form of damage, foreseen or unforeseen, associated with the proper commercial or artistic use of these images unless it can be shown that said reproduction was maliciously caused, produced and pub- lished for the sole purpose of subjecting the Model to conspicuous ridicule, scandal, reproach, scorn and indignity. We acknowledge that the videotaping/photography session was conducted in a completely proper and highly professional manner, and this release was willingly signed at its termination. We acknowledge that the Model is a minor, and certify that we have given our consents freely. _______________________________________ ____________________ Model's signature Date ________________________________________ ____________________ Home address Home telephone number _________________________________________ Parent's name (Please Print): ____________________ (Witness) _________________________________________ (Parent's signature) This form will be retained with the videotapes, negatives, trans- parencies, and/or contact sheets.