The undersigned model hereby agrees to accept all conditions set forth in this limited consent and release.

I, the undersigned model, hereby give JMP Productions (Jenmarie Proctor) specific permission to: publish, distribute and/or display photographic images of me submitted by me to her for use.  The permission granted herein is strictly limited to the uses decribed below and for no other purposes, whether suggested or implied.

I, the undersigned model, hereby release and discharge JMP Productions from any and all liability by virtue of use in composite form.  I understand that she may use any process or procedure resulting in the completion of the finished product, the publication, distribution, or public display, when photos of me are used in accordance with the usage listed only below.

USAGE: Use on the internet domain by name of CurvyCats (curvycats.com)

By signing this limited consent and release form I, the undersigned model, represent that I am of legal age in the state in which this limited consent and release form is executed, that before signing this document, I have read it completely and understand it.  I release JMP Productions and give up any and all future claims which I may have at any time.

MODEL's NAME (please print):

____________________________________________

CONTACT EMAIL:______________________________________
 

MODEL's SIGNATURE:_______________________________

DATE:_________________

WITNESS' NAME (please print):

___________________________________________

WITNESS' SIGNATURE:________________________________________________

DATE:________________

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AGE VERIFICATION (enclose copy of Photo ID)
*************************************************************

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

Date of Birth:___________________________

Model Name (print):_____________________________________

Model signature:____________________________________

Date:________________

All information on this release will be kept confidential.

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Model alias info
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Desired stage name: __________________________

Desired password for site access:_____________________

contact email: ______________________

A short bio to be on your page on the site:
 
 
 
 
 
 
 
 

Email to:  jmppro@bigfoot.com

Mail to:   CurvyCats
               1712 E. Riverside Dr. #255
                Austin, TX   78741

Fax to:   (707) 929-2485