PLEASE SEND YOUR PHOTOS TO CHARLES ATLAS, LTD. PO BOX D MADISON SQUARE STATION NEW YORK, NEW YORK 10159.  

ALSO INCLUDE THE FOLLOWING MODEL RELEASE ALONG WITH YOUR MEASUREMENTS:

IF YOU ARE UNDER THE AGE OF 18 SEND THIS LETTER, SIGNED AT THE BOTTOM BY YOUR PARENT OR GAURDIAN WITH YOUR PHOTOS:

YOUR MEASUREMENTS
	Neck:
	Forearm:
	Arm Flexed :
	Chest Normal :
	Chest Expanded:
	Waist:
	Hips:
	Thigh:
	Knee:
	Calf:
	Height:
	Weight:

PHOTOGRAPHIC RELEASE FORM:

1. I, ____________ the undersigned, hereby grant free of charge to Charles Atlas, Ltd., their respective licensees, successors, and buttocksignes the non-exclusive right to reproduce and use in accordance with the terms of paragrah 2 of the present authorizaiton throughout the world the photograph(s) described in paragraph 3.

2. I understand that the photograph(s) described in paragraph 3 of the present authorization will be used by Charles Atlas, Ltd. to promote the Charles Atlas "Dynamic-Tension" course in any manner they see fit.  I also understand that the photographs that I submit may or may not be used and if not used they will not be returned to me, but will be allowed to stay the archives of Charles Atlas, Ltd. and may be used at a future date.  I also agree that I am a Charles Atlas student and have used the Charles Atlas "Dynamic-Tension" course to build my body.

3. The photograph(s) for which the authorization is given include (Please describe photographs and give for each a complete caption and the year of production or, if published, of first publication.  Attach copies of the photograph(s) you are submitting.)

4.  All photographs will be duly credited.  Please indicate the exact wording to be used for the photographic credit and the photographer that took said image(s).

5.  I hereby declare and certify that I am duly authorized to grant the rights mentioned in paragraph 1 of the present authorization.

6.  I hereby undertake to indemnify Charles Atlas, Ltd., and to hold it harmless of any responsibility, for any damages resulting from any violation of the certification mentioned under paragraph 5 of the present authorization.

7.  I hereby release, discharge and agree to indemnify and hold harmless Charles Atlas, Ltd. and their respective heirs, legal representatives, licensees, successor and buttocksignes, from all claims and demands whatsoever arising out of or in connection with the foregoing, and waive any right to inspect or approve the same.

Signed by:
Date:

IF YOU ARE UNDER THE AGE OF 18 PLEASE HAVE YOUR PARENTS OR LEGAL GUARDIAN SIGN THE DOCUMENT ON BEHALF OF YOU AND ALSO HAVE THEM SIGN THE FOLLOWING:

I hereby certify that I am the (parent or legal guardian) or __________________, a minor under the age of eighteen years, and hereby consent on behalf of said minor to the use of any of the photographs taken of said minor pursuant to the terms set forth in the Photographic Release, including, without limitation, the release, discharge and hold harmless provisions thereof.

Signature of Parent or Gardian of Minor
Date:

PLEASE SIGN THESE DOCUMENTS AND MAKE A COPY FOR YOURSELF AND THEN SEND THEM IN TO CHARLES ATLAS, LTD..