CNTV
MODEL RELEASE

Effective as of the date shown below, approval for past use and permission for present and future
use is being granted to  the business:________________________ located at the address of _________________________ to use photographs/video and other images taken on the date of  ___________________ by Consumer News TV.

I_____________ _________________ (the Photographed/Video taped Party),
understand and allow these images, as more fully explained in this Consent and Release.

For no value received, receipt of which is hereby acknowledged, the Photographed/video taped Party hereby grants consent to the above mentioned business, its agents, employees, licensees, and successors in interest (collectively, the Released Party) and authorize the use of any and all photographs/video taken of me, and any reproduction of them in any form in any media whatsoever and in any derivative work based thereon throughout the world, and to use them to publicize, promote and advertise, including but not limited to use for point of sale advertising.

The Photographed/Video taped Party also consents to the use of my own name or any fictitious name which may be chosen in connection with the aforesaid photographs.
The Photographed/Video taped Party hereby releases any and all claims whatsoever in connection with the use of my photograph/video and name and the reproduction thereof as aforesaid.
The Photographed/video taped Party hereby waives any right that I may have to inspect and/or approve the Book or the advertising copy that may be used in connection therewith or the use to which it may
be applied.

THE PHOTOGRAPHED/VIDEO TAPED PARTY WARRANTS THAT HE/SHE IS THE UNDERSIGNED AND THAT HE/SHE HAS READ THIS CONSENT AND RELEASE PRIOR TO THE SIGNING OF THIS DOCUMENT, THAT THE UNDERSIGNED UNDERSTANDS IT, AND THAT THE UNDERSIGNED FREELY ENTERS INTO THIS CONSENT AND RELEASE.

Executed by ________________________________________ with the intent of being legally bound.

DATE;____________________________________

Parents Name:_______________________

minor child's name:_________________

Witness or RECEIVED by: ________________________________