WP E-Signature by Approve Me - Sign Documents Using WordPress -

MODEL/PHOTO RELEASE

This agreement is entered into by , herein referred to as 'CLIENT(S)' and THE BELLO GROUP, INC DBA CHIOMA, herein referred to as 'TBGI'.

I, , agree to electronic records and e-signature. My signature acknowledges that I have READ the following and AGREE to receive treatment or a series of treatments from 'TBGI'.

I agree and consent that the completion of this form, whenever booking Services via online (or through mobile app), purchase of Services or use of the Services constitutes an authorized signature, acceptance and agreement to the terms and conditions of this Waiver as if actually signed in writing. Further, I agree that no certification authority or other third party verification is necessary to the validity of electronic signature on this agreement. I agree that the lack of such certification or third party verification will not in any way affect the enforceability of the electronic signatures on this agreement or any resulting contract between myself and the TBGI.

I, , consent and gives permission to allow the TBGI, its affiliates, successors and assigns, and all persons acting under its permission or authority, the right to use photograph(s) to transmit, use, copy, publish, copyright, distribute, and display the photograph(s) in connection with articles, exhibitions, publicity, advertising, educational, and promotional materials in print and electronically and any other uses without reservation or limitation.

RELEASES

I understand that these photographs include before and after images of the client treated for services provided by TBGI its affiliates, successors and assigns may use such photographs for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.

I, ,warrant and asserts that TBGI, it's affiliates and parent companies has full authority and rights to authorize the use of the photograph(s).

I, , SHALL DEFEND, INDEMNIFY, AND HOLD HARMLESS TBGI, ITS SUCCESSORS AND ASSIGNS, AND ALL PERSONS ACTING UNDER ITS PERMISSION OR AUTHORITY, FROM ANY CLAIM OR CAUSE OF ACTION, NOW KNOWN OR LATER DISCOVERED, FOR, AMONG OTHER THINGS, INVASION OF PRIVACY, RIGHT OF PUBLICITY, AND DEFAMATION ARISING OUT OF THE USE OF PHOTOGRAPH(S), INCLUDING ANY ACTION, SUIT, CLAIM, DAMAGES, LIABILITY, COSTS, AND/OR EXPENSES (INCLUDING REASONABLE ATTORNEYS’ FEES).

I, , by signing this form, I represent and warrant that I am over 18 years of age.

I, , by signing this consent, waiver, and release form, I acknowledge that I understand and agree to the above request and conditions. I sign this form freely and without inducement.

Review Consent

I understand that I maybe required to leave a review as part of this model agreement on platforms designated by TBGI.

Gratuity

Gratuities are not included and are welcomed. To leave a gratuity please see the Front House Associate.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Signed by The Bello Group Inc
Signed On: February 16, 2026

Timestamp

Audit

December 16, 2025 2:12 pm CST

MODEL/PHOTO RELEASE Uploaded by The Bello Group Inc - chiomafarmersbranch@gmail.com IP 97.134.209.83

December 16, 2025 2:13 pm CST

Ebele Chioma - ebele.okocha@gmail.com added by CHIOMA Co. Concierge - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 72.110.53.134

December 16, 2025 3:34 pm CST

Ebele Chioma - ebele.okocha@gmail.com added by CHIOMA Co. Concierge - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 72.110.53.134

December 19, 2025 10:47 am CST

Ebele Chioma - ebele.okocha@gmail.com added by CHIOMA Co. Concierge - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 72.110.53.134

December 19, 2025 10:47 am CST

CHIOMA Farmers Branch - chiomafarmersbranch@gmail.com added by CHIOMA Co. Concierge - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 72.110.53.134

February 16, 2026 9:05 am CST

Ebele Chioma - ebele.okocha@gmail.com added by The Bello Group Inc - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 97.134.209.83

February 16, 2026 9:05 am CST

CHIOMA Farmers Branch - chiomafarmersbranch@gmail.com added by The Bello Group Inc - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 97.134.209.83