MODEL RELEASE

For valuable consideration received, I hereby grant to H. Brian Rauvola of HBR Studios (“Photographer”) the absolute and irrevocable right and unrestricted permission in respect of photographic portraits or pictures that he has taken of me or in which I may be included with others, to copyright the same in his own name or otherwise; to use, re-use, publish and republish the same in whole or in part, individually or in conjunction with any printed matter, in any and all media now or hereafter known, and for any purpose whatsoever, for illustration, promotion, art, editorial, advertising, and trade, or any other purpose whatsoever without restriction as to alteration; and to use my name in connection therewith if he so chooses. I hereby release and discharge Photographer from any and all claims and demands arising out of or in connection with the use of the photographs, including without limitation any and all claims for libel or invasion of privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of the Photographer, as well as the person(s) for whom he took the photographs.

I have read the foregoing and fully understand the contents thereof. This release shall be binding upon me and my heirs, legal representatives, and assigns.

Signed: _________________________________ Date: ___________

Name (printed): ___________________________________________

Address_________________________________________________

City, State ___________________________ Phone ______________

Parent or Guardian signature (if under 18)

____________________________________________________ Date __________

Parent Name(s) (printed) ______________________________________________

Witness: __________________________________ Date __________

4124 Cooke St. Duluth, MN 55804 (218) 393-2468 888 HBR-FOTO

brian@hbrstudios.com www.hbrstudios.com