General Media Release Form

I consent to and give Americana Art Enterprises, LLC and its representatives, agents, subsidiaries, related entities, and assigns (the “Company”) to take and create photographs, images, videos, recordings, quotes, summaries, biographies, and/or excerpts of and about me (the "Media").

I give permission to the Company to use and re-use, publish, distribute, and/or broadcast the Media, in whole or in part, individually or in conjunction with other photographs, images, videos, text, quotes, summaries, biographies, and/or excerpts, in any and all promotional, educational, business, trade, advertising, and marketing materials, including, but not limited to, in connection with product endorsements. These materials may include emails, the Internet, social media, websites, and other electronic media, as well as traditional radio, television, cable television, newspaper, magazine, direct mail, catalogs, brochures, advertisements, promotional materials, press releases, training materials, and other uses, in such medium and formats (whether now known or hereafter created or invented), at such locations, at such times and for such purposes as the Company chooses, in its sole discretion.

I acknowledge that this consent to use the Media is being made solely for the purpose of advertising, marketing, fund-raising and/or the promotional and public awareness purposes for the Company and comes without any expectation ofmonetary compensation or other benefit to me. I hereby waive any rights or interest in the Media, as contemplated in this release.

I understand that my name, nickname, pseudonym, likeness, voice, image and/or biographical information may be used as part of or in connection with the Media. I release and hold harmless the Company, from any and all claims that may arise out of or in connection with my participation in the recording, production, publication, use and/or re-use of the Media including, without limitation, any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite or distorted form, whether intentional or otherwise, that may occur or be produced in the taking of any of such photographs, portraits or other materials or in any subsequent processing thereof.

I hereby release and forever discharge the Company (including without limitation all corporate affiliates and officers, directors, trustees, donors, employees, agents and volunteers) from any and all claims, liability, actions, suits, demands, costs, expenses or indebtedness arising out of, related to, or in any way connected with the use of images and materials described herein, and I hereby waive all rights and interest in and to such information and materials.

I understand that this Release applies in perpetuity.

I represent that I am at least 18 years of age and am fully competent.