Typical Model Release

In consideration of ________________, I, _______________________, give Jeffrey A. Klingler and his legal representatives the irrevocable right to use my image (including composite or distorted representations) and my name (first name only or any fictional name) for any lawful purposes, and I waive any right to inspect or approve the finished product, including written text. All copyrights shall belong to Jeffrey A. Klingler or his legal representatives.

I am over the age of 18, have read this release, and am fully familiar with its contents.

Signed:_______________________________ Date: _________________

Address _____________________________________________________