Extreme Consulting Makeover Application

Effective as of the date shown above, I authorize Jungle Guides Inc. ("Company") to film me and I consent to the use of my name, face, likeness and image in any and all publications, educational materials, research, marketing, advertising, news media, and web materials.

I understand and agree that such materials shall become and remain the sole property of the Company and I shall have no right or title to such items. I agree that the Company does not owe me any compensation for the acts that I have consented to in this agreement.

I further understand and agree that these materials may be kept on file and used by the Company for potential future purposes and further agree to release the Company from any and all liability arising from or in connection with the taking, use, publication, or dissemination of such materials.