MODEL RELEASE

DATE: _______________

PHOTOGRAPHER: ___.______________________________

ADDRESS: _______________________________________

For valuable consideration, I hereby irrevocably consent to and authorize the use and reproduction by you, or anyone authorized by you, of any and all photographs which you have this day taken of me, negative or positive, for any purpose whatsoever, without further compensation to me. All negatives and positives, together with the prints shall constitute the property of Company, solely and completely.

JBI, Inc.:

In consideration of $ _______________, I hereby give Company, its affiliates, successors and assigns, and those acting under its permission or upon its authority, the absolute and full right and exclusive permission in perpetuity to copyright and/or publish these photographs of myself and to make any changes or any additions whatsoever, in part or in whole, to such photographs, whether true or fictional, including the use of fictitious names accompanying my photograph. I understand that advertising copy will accompany these photos and that they may be published in national magazines and on the Internet World Wide Web. I understand that a adult entertainment services may be utilized and advertised in conjunction with these photos. I hereby waive any right that I may have to inspect and/or approve the finished product, copy, advertisement, etc. that may be used in conjunction therewith, or the use to which it may be applied. I hereby release Company, its successors, officers, directors, partners, employees, and agents from any and all liability by virtue and in connection with the publication of my image and photographs in any publication, etc. I certify that I am of full age and am possessed of full legal capacity to execute the foregoing authorization.

I AM OVER 18 YEARS OLD. (Initial Here) __________

I DECLARE UNDER PENALTY OF PERJURY THAT ALL OF THE INFORMATION I HAVE GIVEN ABOVE IS TRUE AND CORRECT.

MODEL: ______________________________________________________

Name & Signature of Model

ADDRESS: ____________________________________________________

______________________________________________________________

DATE OF BIRTH: _____________________ Tel Number:_____________

DRIVER'S LIC NO.: ____________________

Witnessed By: __________________________________________

DATE: _______________