The Photography of Kevin Caudill

I hereby irrevocably consent to the photographing of myself by Kevin Caudill or his authorized representative and authorize the use of these photographs singularly or in conjunction with other photographs for advertising, publicity, commercial or other business purposes. I understand that the term "photograph", as used herein, encompasses all photography produced by or provided to Kevin Caudill for this and only this project.

I further consent to the reproduction and/or authorization by you or your client for this given assignment to reproduce and use said photographs for use in all domestic and foreign markets. Further, I understand that other and any subsequent reuse for which I shall receive no additional compensation, will be sanctioned only by Kevin Caudill, the undisputed owner of the photographs.

I hereby release Kevin Caudill or his authorized representative agencies, their directors, officers, agents, and employees from all claims of every kind on account of such use.

Project Date: ______________________________________

Model Name (printed): _______________________________

Model Name (signed) :_______________________________

Address (printed):___________________________________


I am 18 years of age or over.  YES  NO  (circle one)

Date of Birth: ______________________________________

Height/Weight: _____________________________________

Telephone: ________________________________________

E-mail Address: ____________________________________

Today's Date: ______________________________________