MODEL RELEASE

In consideration for value received, I,........................................................., , do hereby irrevocably consent to and authorize Christian Fournier, and parties designated by Christian Fournier, , including clients, licensees, purchasers, agencies and periodicals, the use of any and all photographs taken of me, , negative or positive, proofs, for sale and reproduction in any medium for purposes of advertising, , trade, display, exhibition or editorial use, whatsoever, without further compensation to me. , All negatives and positives, together with the prints shall constitute the property of Christian Fournier, , solely and completely. I have read this release and fully understand its contents.,

I am over 18 years of age yes no (if no, see below), Model's name: .............................................................................................................., Model's address: ........................................................................................................., Model's telephone: ............................................................................................................, Date: ..................................... , Model's signature:,

Witness (optional): ..........................................................................................., Location: ..........................................................................., I am the parent or legal guardian of the above-named minor and I, hereby, , approve the foregoing and consent without reservations to the photographs use, , subject to the terms mentioned above., I state that I have the legal right to issue such consent., Name: .............................................................................................., Address: ...................................................................................., Date: ..................................... , Signature of legal guardian: ............................................. , Witness: ..................................................................................., Signature of witness: ......................................................