I, ______________________________________do hereby give Elena and Warren Roché, their assigns, licensees, and legal representatives the irrevocable right to use my name and any image or likeness of buildings, houses or property that is the subject of an art commission ordered by me and any picture, portrait, or photograph thereof in all forms and media and in all manners, including composite or distorted representations, for advertising, trade, or any other lawful purposes, and I waive any right to inspect or approve the finished version(s), including written copy that may be created in connection therewith. I am of full age.*   I have read this release and am fully familiar with its contents.



Property Owner_____________________________________________

Address____________________________________________________

___________________________________________________________