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KO Dance Co.

Irrevocable Model Release

AGREEMENT between KO Dance Co. (the Dance Company), located at 4463 Home Avenue #2, San Diego, CA and _______________________________ (Model), dated ________________________. TERMS: For good and valuable Consideration, receipt of which is hereby acknowledged, I grant the Dance Company, his heirs, successors and assigns, my unlimited permission to license, use, reproduce and distribute images of me and/or my property, in any country, at any time, in any Media, for any purpose. Such permissible use may include but is not limited to: commercial use, personal use, advertising, trade, exhibition, competition, promotion, marketing, stock photography, product packaging, video, print, publication or editorial work. I understand and agree that my images may be altered and modified to the point where I may even be unrecognizable. My images may be combined with other pictures, text or graphics. You may even combine my name or an alias name with my images. I understand that I will have no right to inspect or approve the final use of my images or copy that may accompany it. I agree that I have absolutely no right to compensation for use of my images. I warrant I will make no claim against Dance Company or his assigns for compensation relating to the use of my images. I agree that this contract will be binding not only upon me, but upon my heirs, successors and assigns as well and that this release is irrevocable and enforceable worldwide, to the fullest extent possible under the law. Any dispute relating to this agreement will be governed by the laws of the State of California, USA. RELEASE: By signing below, I hereby release, acquit, indemnify, hold harmless and discharge the Dance Company, his employer, heirs, agents, successors and assigns, from any damages, actions, claims, attorney fees, costs and suits arising in any way whatsoever from the uses permitted and described more fully above that may arise in any way whatsoever from the use of my images. If any suit is brought challenging the enforceability of this agreement, I agree to indemnify Dance Company or his assigns for attorney fees and expenses. I represent and warrant that I am at least 18 years of age and have the full legal capacity to execute this release.

MODEL INFORMATION Name (print)_______________________________________ City/State/Zip:______________________________________ Cell Phone ________________________________________ Home Phone_______________ Work Phone _____________ Email ____________________________________________ Date of Birth _______________________ Age ___________

Signature ________________________________________ Date _____________________________________________