MODEL RELEASE FORMS by S.R.P.I.™ S.R.P.I.™

::X::ABSTRACT::X::

I provide an exceptional service to our clients for promotional uses only. I always stay dedicated to always network within the media industry, casting agents, advertising agencies, producers, directors, photographers and all professionals who expect to receive the exposure that is needed to help themselves or their business to be able to be successful in their community and worldwide. I’m very professional and try to be diligent to show my experience to being dedicated to securing suitable engagements. While there is widespread interest in and appreciation of individuals with exceptional talents, surprisingly little is known about the cognitive and neural mechanisms establishment talent, and indeed how talent relates to proficiency. I intend to innovate the visual art of modeling and its fashion aspect as a vintage one. In doing so overall I seek evolution, exposure, and to be elite in the world of photography. Thanks, Roland Mixon III Sir Roland Productions Interactive™

::X::Disclosure::X::

Sir Roland Productions Interactive package contains legal forms that are not intended and are not a substitute for legal advice because laws vary from time to time and from state to state. The Terms of use are that the photographer or company obtaining a model/talent release should keep the original of all signed and dated forms. These documents may later be useful to prove consent to take pictures or make film. Talent/Model will have rights to his or her photo’s and all of its contents. If any recompense is valuable then percentage rate is negotiable. The talent/model will be given a copy of the entire packet. This is for the sole purpose of adult models/talent only (i.e. over the age of 18 or other applicable age of majority) If model/talent is a minor, the form for minors will be used. Sir Roland Production Interactive Model/Talent documents can be reviewed and consulted with your attorney to make sure it fits your particular situation. Thanks, Roland Mixon III Sir Roland Productions Interactive™

::X::Model/Talent::X::

::X::Name of Model::X:: ___________________________________________________ ::X::Name of Photographer::X:: ______________________________________________ ::X::Name of Event::X:: ____________________________________________________

::X::Date::X:: ______________________

::X:: Model Release Appearance::X:: Talent and Model Video and Film Release For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, __________________________________________________ (Name & Address) (“Releaser”), I hereby give, consent, and forever grant to _______________________ (Name & Address) (“Manufacturer”), its representatives, licensees, marketers, and any other related parties or publishers of its promotional materials and their successors and assigns, the right to use, publish and copyright my picture, portrait or likeness, in video and film format, in whole or part, including alterations, modifications, derivations, and composite thereof, in CDs, films, advertising and similar such promotions and renditions throughout the world. This right shall include the right to combine my likeness with others and to alter my likeness by digital or other means. Releaser also hereby releases Manufacturer and such other parties from any obligation to make any payment hereunder or from any other liability incurred in connection with the use of any the materials described above. Releaser acknowledges his or her full and complete satisfaction with the terms of this Release. ___________________________ ________________________ Releaser Manufacturer Date: ______________________ If the Releaser is less than 18 years of age, the following should be filled out. _______________________________ (Name and Address) (“Parent/Legal Guardian”), hereby warrant that I am the _______________________ (Parent or Legal Guardian) of ______________________ (Name of minor subject to this Agreement), a minor, and have full authority to authorize the above Release, which I have read and approved. I hereby release and agree to indemnify the licensed parties and their respective successors and assigns, from and against any and all liability arising out of the exercise of the rights granted by the above Talent and Model Release. _____________________________ _________________ Releaser’s Parent or Legal Guardian Date

::X:: Model Release Appearance::X:: MODEL RELEASE In valuable and good consideration of my engagement as a model (Participant), upon theterms herewith stated, I hereby give to ________________________ (the Photographer),his/her heirs, legal representatives and assigns, those for whom The Photographer is acting, and those acting with his authority and permission: a) The unrestricted right and permission forever to copyright and use, re- use, publish, andrepublish photographic portraits or pictures of me or in which I may be included intact or in part, composite or distorted in character or form, without restriction as to changes or transformations in conjunction with my own or a fictitious name, or reproduction hereof in color or otherwise, made through any and all media now or hereafter known for illustration, art, promotion, advertising, trade, or any other purpose whatsoever. b) I also permit the use of any text material in connection therewith. c) I hereby relinquish any right that I may have to examine or approve the completed product or products or the advertising copy or printed matter that may be used in conjunction therewith or the use to which it may be applied. d) I hereby release, discharge and agree to save harmless the Photographer, his/her heirs, legal representatives or assigns, and all persons functioning under his/her permission or authority, or those for whom he/she is functioning, from any liability by virtue of 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 picture or in any subsequent processing thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy. e) I hereby affirm that I am over the age of majority and have the right to contract in my own name. I have read the above authorization, release and agreement, prior to its execution; I fully understand the contents thereof. This agreement shall be binding upon me and my heirs, legal representatives and assigns. I am also aware that these terms are subject to negotiation, deletion or addendum, which may be valid if handwritten on this release and initialed and dated by both parties (The Photographer and Undersigned) next to the modification or any modification that is typed and signed by both parties. Modifications may be implied by any releases/contracts with my employer without my notice by the Photographer. ______________________________ ______________________________ Address ______________________________ Phone number or e-mail Date Signed: ____/____/____ ______________________________ Name of Participant ______________________________

Signature of Participant

::X::Contact Information::X:: ::X::Phone Number::X:: _____________________________________________________ ::X::Address::X:: ___________________________________________________________ ::X::Email::X:: _____________________________________________________________ ::X::Web-Site::X:: __________________________________________________________ ::X::Agency/Company::X:: ___________________________________________________ ::X::Sponsors::X:: __________________________________________________________

::X::Date::X:: ________________________