MODEL/CLIENT WAIVER AND RELEASE AGREEMENT I, the undersigned (“MODEL/CLIENT”), for good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, hereby agree and consent to permit authorized hair technicians and stylists (“ARTISTS”) retained by HELIAS, LLC. (“HELIAS LLC”) to perform coloring, cutting and/or styling of my hair for purposes that may include trade show appearances, marketing efforts and/or educational and instructional classes. I understand and agree that HELIAS shall have the exclusive right to take photographs and film of me (Hereinafter “PHOTOS”), and that HELIAS may utilize the PHOTOS and my name and likeness for any lawful purpose including, but not limited to research, marketing, advertising and promotion, without any further consideration to me. Any and all PHOTOS shall be the exclusive property of HELIAS, and HELIAS shall have the exclusive, worldwide rights to publish and to cause to be published the PHOTOS in any form of electronic, video or print media, including, but not limited to, magazines, websites, social media, publications, DVD’s, cable and satellite television, etc. I understand that, due to time limitations that may be involved, ARTISTS may be unable to perform a “patch test” on my hair prior to the application of hair coloring products and formulations. I am aware that a precautionary “patch test” is normally advisable prior to the initial application of hair coloring products and formulation in order to guard against unintended and unanticipated contingencies including, but not limited to, undesired coloring effects, damage to hair and allergic reactions. With knowledge of the foregoing, I hereby voluntarily waive the right to have a “patch test” performed on my hair. I further agree to waive, and to hold ARTISTS and HELIAS and their representative agents, employees, representatives and shareholders harmless from, any and all claims or potential claims arising from the taking and publication of the PHOTOS, the coloring, cutting and/or styling of my hair, and the application of hair care and hair coloring products and formulations to my hair, including but not limited to any claims for liability, damages or personal injury, including and damages based on allergic reaction, damage to my hair or improper hair coloring. I HAVE READ THE FOREGOING AND AGREE TO THESE TERMS. Signature: ________________________________Date: _____________________ Print Name: _________________________________________________________ Cell number: ____________________Email: _______________________________ Form # 1014 - Version 1.5 October -14