Name *

First Name

Last Name

I, the undersigned, for good and valuable consideration, the receipt of which is hereby acknowledged, hereby irrevocably authorize PPO to use photographs of me and or my property and authorize assignees, licensees, legal representatives and transferees to use and publish photographs, pictures, portraits or images herein described in any an all forms and media and in all manners including composite images or distorted representations, and the purposes of publicity, illustration, commercial art, advertising, publishing, for any written copy or finished product. I am of full legal age andhave read and fully understand the terms of this release. *

I Agree