Sinex Media LLC
                       420 Lincoln Road ste #365
                         Miami Beach, FL 33139
                         TheDangerousDolls.com




       I,  (Please Print) ____________________________                                          
(Model), for good and valuable consideration, the receipt of which
is acknowledged, give to Sinex Media LLC, their
legal representatives, successors, and all persons or corporations
acting with his permission, unrestricted permission to copyright
and/or use, and/or publish photographic portraits or pictures of
me, and the negatives, transparencies, prints, or digital
information pertaining to them, in still, single, multiple, moving
or video format, or in which I may be included in whole or in part,
or composite, or distorted in form, or reproductions thereof, in
color or otherwise, made through any media in his studio or
elsewhere for art, or any other lawful purpose.

       I hereby waive any right that I may have to inspect and
approve the finished product or copy that may be used in connection
with an image that the Photographer has taken of me, or the use to
which it may be applied.

       I further release the Photographer, or others for whom he is
acting, from any claims for remuneration associated with any form
of damage, foreseen or unforseen, associated with the proper
commercial or artistic use of these images unless it can be shown
that said reproduction was maliciously caused, produced and
published for the sole purpose of subjecting me to conspicuous
ridicule, scandal, reproach, scorn and indignity.

       I acknowledge that the photography session was conducted in a
completely proper and highly professional manner, and this release
was willingly signed at its termination.  I certify that I am not
a minor, and am free and able to give such consent.

_________________________               ___________________________
(Model's signature)                     (Date)

_________________________________________________
(Home telephone number)

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(EMAIL ADDRESS)                                            

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(Model Name on Site)                                            

This form will be retained with the negatives, transparencies,
and/or contact sheets.