LoveLiveSex.com Model Age and Model Release Document

(Model Release and Model Age documents must not be harmed, cut down or converted.

Please provide the whole original paper.)

Please print this entire document, fill out the blanks, scan it in and email it to registration[at]lovelivesex.com. Include with your email, attached, at least one form of identification, including a color, enlarged legible scanned in copy of your passport or a second form of ID (driver's license, etc.). A separate form must be used for each performer in your account!
These must be legible!

AGE CERTIFICATION: I hereby certify that attached herewith is at least one form of identification which state my true date of birth, indicating that I am at least 18 years of age (21 in some areas, check with local laws to make sure), or age of majority in my legal jurisdiction (whichever is greater).
My signature also certifies that I will NOT provide LoveLiveSex.com with false identification (including name and/or date of birth), and I ensure that I am at least 18 years of age.

I also certify that all decisions related to the content of my performances are made at my own discretion, and that my performances do not violate the local community standard of "obscenity" in my area, and that my performances do not violate any other laws. I am completely responsible for my own actions as a consenting adult. I indemnify and hold harmless LoveLiveSex.com from all related liabilities. I hereby discharge all persons related to LoveLiveSex.com of any past, present or future liability.

I hereby represent that I am at least 18 years of age and that my age is equal to or higher than local, community, or state laws in my area required for mature online content. I further represent that I have fully read and agree with the contents of this document prior to its execution. I have not been induced to sign the same other than by recited considerations, by any statement made by LoveLiveSex.com, its agents, employees, or anyone acting on their behalf. My signature below is certification that the identification that appears below is true and accurate.

Video Chat-host transfers to LoveLiveSex.com full license to use any and al copyrights, trademarks, service marks, trade secrets, and all other proprietary rights in and to the Productions, or any portion thereof, via an unlimited, perpetual, worldwide, universal, royalty-free, irrevocable, sub-licensable, transferable, exclusive license to LoveLiveSex.com.
With the rights granted herein, LoveLiveSex.com may, without limitation, use, distribute, reproduce, display, perform, publish, modify, adapt, translate, transmit, market, import, export, promote and/or create derivative works of the Productions in any medium or technology whatsoever, now known or to be developed in the future. You further agree that LoveLiveSex.com shall be the sole owner and holder of all copyrights and all other proprietary rights in and to any and all derivative works created from the Productions.

PERFORMER SIGNUP (model):________________________________date: 2006/___/___

PERFORMER LOGIN NAME (model):

My Full Legal Name (model):

Date of Birth (model):

Current Mailing Street Address (model):

City/State/Zip (model):

Country (model):

Social Security Number (U.S. only) (model):

Telephone Number (model):

Email Address (model):

Signature and Date (model) PRINT:

PERFORMER SIGNUP (model):________________________________date: 2006/___/___