LAS VEGAS STRIPPERS MODEL RELEASE FORM

By Reading and Signing this Form you are agreeing to the following:
I_____________________________ hereby certify that the photographs / videos / digital images that I have provided to las-vegas-strippers.net for the purpose of advertising, are photos/video of me. I Certify that I am over the 18 years of age. I also agree to give las-vegas-strippers.net my permission to publish any information and/or photographs /Videos /digital images supplied by me for advertising purposes on las-vegas-strippers.net. I also certify that I have the right to publish any photos / video / information supplied by me and that all models in said photographs / videos / digital images are at least 18 years of age. I certify that I and all individuals pictured in the photographs /videos /digital images fully understand that they are to be used in relation to adult advertising /promoting on the Internet and World Wide Web.I also agree to absolve las-vegas-strippers.net from any claims arising from the publication of my advertisement. I also agree that i have entered into this agreement under my own free will and not under the influence of drugs, alcohol, duress or any pretenses. I certify that I have fully read and understood this Model Release Form.

PRINT FULL NAME:__________________________________________________

SIGNATURE: ____________________________________________

DATE SIGNED:_________________________________________________