MODELRELEASE

ForConsiderationhereinacknowledgedasreceived,andbysigningthisreleaseI
herebygiveJGProductionsUSAandAssignsmypermissiontolicensetheContentand
tousetheContentinanymediaforanypurpose(exceptpornographicordefamatory)
whichmayinclude,amongothers,advertising,promotion,marketingandpackagingfor
anyproductorservice.IagreethattheContentmaybecombinedwithotherimages,
text,graphics,film,audio,audiovisualworksandmaybecropped,alteredormodified.
IacknowledgeandagreethatIhaveconsentedtopublicationofmyethnicity(ies)as
indicatedbelowbutunderstandthatotherethnicitiesmaybeassociatedwithmebyJG
ProductionsUSAorAssignsfordescriptivepurposes.

IagreethatIhavenorightstotheContent,andallrightstotheContentbelongtoJG
ProductionsUSAandAssigns.IacknowledgeandagreethatIhavenofurtherrightto
additionalconsiderationoraccounting,andthatIwillmakenofurtherclaimforany
reasontoJGProductionsUSAandAssigns.Iacknowledgeandagreethatthisrelease
isbindinguponmyheirsandassigns.Iagreethatthisreleaseisirrevocable,worldwide
andperpetual,andwillbegovernedbythelaws(excludingthelawofconflicts)ofthe
StateofMississippi.

Itisagreedthatmypersonalinformationwillnotbemadepubliclyavailablebutmay
onlybeuseddirectlyinrelationtothelicensingoftheContentwherenecessary(e.g.to
defendclaims,protectrightsornotifytradeunions)andmayberetainedaslongas
necessarytofulfillthispurpose,includingbybeingsharedwithsublicensees/
assigneesofJGProductionsUSAandtransferredtocountrieswithdifferentdata
protectionandprivacylawswhereitmaybestored,accessedandused.Irepresentand
warrantthatIamatleast18yearsofageandhavethefulllegalcapacitytoexecutethis
release.

Definitions:"ASSIGNS"meansapersonoranycompanytowhomJGProductionsUSAhasassignedorlicensedrightsunderthis
releaseaswellasthelicenseesofanysuchpersonorcompany."CONSIDERATION"means$1orsomethingelseofvalueIhave
receivedinexchangefortherightsgrantedbymeinthisrelease."CONTENT"meansallphotographs,film,audio,orother
recording,stillormoving,takenofmeaspartoftheShoot."MEDIA"meansallmediaincludingdigital,electronic,print,television,
film,radioandothermedianowknownortobeinvented."MODEL"meansmeandincludesmyappearance,likenessandvoice.
"PARENT"meanstheparentand/orlegalguardianofthemodel.ParentandModelarereferredtotogetheras"I"and"me"inthis
release,asthecontextdictates."SHOOT"meansthephotographic,filmorrecordingsessiondescribedinthisform.

JGProductionsUSA RevisionDate:January16,2017


MODELRELEASE
BoththeModelandarepresentativeofJGProductionsUSA,mustsignbelowstatingthatthisrelease
hasbeenreviewedandalltermshavebeenagreeduponbytheModel.

PhotographerandShootInformation
JGProductionsUSA
Gautier,MS39553
ShootDate:___________________________________________
ShootLocation/Description:
_______________________________________________________
RepresentativeofJGProductionsUSA'sSignature:

_______________________________________________________

DateSigned:___________________
ModelInformation
FullName:____________________________________________
DateofBirth:________________________________________
Gender: ____Male ____Female
Parent/GuardianFullName(ifunder18yrs):
_______________________________________________________
StreetAddress:
_______________________________________________________
City:__________________________State:_______________
Phone:________________________________________________
Email:________________________________________________
ModelSignatureorParent/Guardian(ifunder18yrs):

_______________________________________________________

DateSigned:__________________

JGProductionsUSA RevisionDate:January16,2017