Effective as of the date shown below, approval for past use and permission for present and future use is granted to 5 UNDER GOLF CENTER, LLC of Beaumont, Texas to use photographs, videos and visual images taken on _________(date) of the participants signed below (the Photographed/Recorded Party), as more fully explained in this Consent and Release. The Photographed/Recorded Party(ies) is/are (A) an adult(s) and is/are fully authorized to sign this Consent and Release or is/are (B) agreed to and permitted by parent(s) or guardian(s) fully authorized to sign this Consent and Release. For value received, receipt of which is hereby acknowledged, the Photographed/Recorded Party hereby grants consent to 5 UNDER GOLF CENTER, LLC its agents, customers, employees, licensees, and successors in interest (collectively, the Released Party) and authorizes the use of any and all photographs taken of him/her, and any reproduction of them in any form in any media whatsoever and in any derivative work based thereon throughout the world, and to use them to publicize, promote and advertise, including but not limited to use for point of sale advertising. The Photographed/Recorded Party also consents to the use of her own name or any fictitious name which may be chosen in connection with the aforesaid photographs. The Photographed/Recorded Party hereby releases any and all claims whatsoever in connection with the use of him/her photograph and name and the reproduction thereof as aforesaid. The Photographed/Recorded Party hereby waives any right that he/she may have to inspect and/or approve the book, media or the advertising copy that may be used in connection therewith or the use to which it may be applied. THE PHOTOGRAPHED/RECORDED PARTY WARRANTS THAT HE/SHE IS THE UNDERSIGNED AND THAT SHE HAS READ THIS CONSENT AND RELEASE PRIOR TO THE SIGNING OF THIS DOCUMENT, THAT THE UNDERSIGNED UNDERSTANDS IT, AND THAT THE UNDERSIGNED FREELY ENTERS INTO THIS CONSENT AND RELEASE.