Exclusive model rellease

EXCLUSIVE  Model. Release

PHOTO-AUDIO-VIDEO PRODUCTION                                                                                SET nr.: _________________________________

For and in consideration of my engagement as a model by Vaclav Vlasek – BRAVO MODELS MEDIA  (the "Photographer-Cameramen") in the event such Photographs-Video-Audio are used or sald, and in further consideration of the publicity to be received by the undersigned by the use of such Photographs, I hereby give the Photographer, his or her or its agents, representatives and assigns, those for whom he or she or it is acting, and those acting with his or her or its permission or authority, and his or her or its respective agents and employees, and any person or entity who may hereafter publish the films or photographs or digital images (hereinafter collectively referred to as the "Users") the absolute right and permission to copyright in its own name, use, reuse, publish, republish, exhibit, display, print and reprint in advertising material, television and motion pictures, magazines, mobile phones, books, video recordings, audio-video recordings, Internet, CD,DVD Roms or other media, known or unknown at this time, and for any other purpose as they may see flt, in their sole and absolute discretion, the fílms, Photographs, video recordings and audio recordings, negatives, prints of every kind and nature, iIIustration, portraits made from the photographs, pictures, designs, paintings and drawings of every kind and nature heretofore taken, or taken thís dav, or hereafter taken, including, without limitation, reproductions thereof in which I may be included in whole or in part (hereinafter collectively referred to as the "Photographs-Cameramen"). Such Photographs-Cameramen may be used in any way by the Users for purposes of trade, advertising, publicity or promotion of any kind without restriction. The failure of Photographer to pay for such use shall not be deemed as a failure of consideration by any other Users. World rights and multiple usages are hereby authorized.

I hereby waive any right to inspect or approve the Photographs or the editorial or advertisjng copy or printed matter that may be used by the Users in conjunction therewith. I further waive any claims that I may have to the eventual use to which it may be applied. Such Photographs may be used, in the sole discretion ofthe Users, with or without my name, or a fictitious name and with fictitious or accurate quotations, interviews or biographical material. The Users may use such the Photographs-cameramen and accurate or fictitious statements attributed to me which may constitute endorsement of services or products, in the sole discretion of the Users.

I hereby release, discharge and agree to defend, indemnify and save harmless the Photographer and Users, their legal representatives, agents, licensees, successors and assigns, and all parties acting under their permission, or with authority from them or those for whom they are acting, from and against any and all rosses, damages, costs, charges, attorneys' fees, recoveries, actions, judgments, penalties, expenses and any other loss whatsoever which may be obtained against, imposed upon or suffered by all or any of them which may arise from the use of such Photographs, even should the same subject be to ridicule, scandal, reproach, scom or indignity, and from any liability as a result of any distortion, blurring or alteration, optical iIIusions or use in composite from, either intentionally or otherwise that may occur or be reproduced in the taking, processing or reproduction ofthe fínished product' or its publication or distribution or which may arise from any breach of any warranty, representation, covenant or agreement made by me. I waive any claim that I may have for alleged violation of privacy, defamation or libel by the use of such Photographs.

I hereby represent that I am over the age of 18 years and have read the authorization and release prior to its execution. I have not been induced to sign the same other than by the recited considerations, by any representation or statement made by Photographer, his or her or its agents employees, or anyone acting on his or heror its behalf.

The Photographer-Cameramen, as primary producer, hereby certifies to alt Users that the visual depictions covered by this release satisfy the standards under paragraphs (a)(1) through (a)(3) of Section 75.7 of the Regulations implementing 10 U.S.C. Subsection 2257 and do not depict actual sexualty explicit conduct.

Vaclav Vlasek – BRAVO MODELS MEDIA / FOTOGRAF-CAMERAMEN / ______________________________________ Signature

____________________________________________________   / Podpis modelky-a, datum /

Model's Signature - Date

____________________________________________________   / Realne jmeno a prijmeni modelky-a /

Model's Real Name

____________________________________________________   / Adresa modelky-a /

Model´s Address

____________________________________________________   / M?sto , zem? /

City,  Country          

____________________________________________________   / Datum narození /

Date of birth

____________________________________________________   / RC, Cislo pasu , Cislo OP , Cislo RP /

Models Social Security Number

____________________________________________________   / Umelecke jmeno pro uverejneni /

Other names used, including stage or professional names             

____________________________________________________   / Svedek , podpis /

Name of Witness , Signature of Witness

Date: _______________________________  Address of Witness: _____________________________________________________________________________

 SAMPLE MODEL ID SHOOT