RELEASE FORM

I hereby consent to the use, reproduction, editing, and/or promotional/educational use by

Chaotic Good Inc of any and all photographs, video recordings and audio recordings of me
taken by or on behalf of Chaotic Good Inc, from this day (November 9th), without
compensation to me. All negatives and positives, prints, video-recorded images and audio
recording shall constitute the property of Chaotic Good Inc.

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Name

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Signature

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Date