Phoenix411 Model Release & Age Verification
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Definitions:
1. "Phoenix411 Agency Advertiser", "you" and "your": The person, and the only person, who shall be providing content under the account provided herein by Phoenix411.net.

Statement of Age

You (the Phoenix411.net Agency Advertiser) hereby declare under penalty of perjury that your advertised escorts are at least eighteen (18) years of age, or the age of majority in your jurisdiction as of the date of the execution of this Agreement.

You (the Phoenix411.net Agency Advertiser) further declare that you are able and competent to enter into contracts on your own or your advertised escorts behalf. You also hereby declare under penalty of perjury that the identification you are providing as proof of age for your advertised escorts is authentic, legitimate and has not been tampered with or obtained under false pretenses.

You (the Phoenix411.net Agency Advertiser) expressly agrees to indemnify and hold harmless Phoenix411.net from any and all actions, claims, damages, demands and liabilities of any kind whatsoever arising out of, concerning or related to any falsehoods or misrepresentations made by you in accordance with your advertising on Phoenix411.net , including but not limited to a misrepresentation of ages for your advertised escorts or a misrepresentation of your competency to enter into this agreement on behalf of your advertised escorts.

You (the Phoenix411.net Agency Advertiser) expressly declare that your advertised escorts will be the only persons depicted in your advertising and that the content of your advertised escorts is controlled entirely by yourself without direction from Phoenix411.net. You further expressly declare that your advertisements will not and does not violate the local community standard for acceptable escort advertising nor any other laws applicable to escort services.

BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE CAREFULLY READ AND CONSIDERED THE PROVISIONS OF THIS AGREEMENT, THAT I UNDERSTAND AND AGREE TO ALL TERMS AND PROVISIONS PROVIDED HEREIN, AND THAT I AM COMPETENT TO EXECUTE THIS DOCUMENT ON MY AGENCIE'S BEHALF.

Date: __________________________________________________________

Signature: _____________________________________________________

Legal Name: ___________________________________________________

Ad or Stage Name: _____________________________________________

Driver's License: ________________________________________________

Agency Name.: _________________________________________________

Telephone No.: _________________________________________________

Email Address: __________________________________________________

IDENTIFICATION

Under penalty of perjury, I swear that the Driver's License and SSN identification numbers that I have provided are true and correct. I further swear that said Driver's License and SSN identification numbers were lawfully acquired, represent true information and have not been altered in any manner.

Agency Owner Signature: ___________________________________
Date: ________________________