DS, one page, 8.5 x 5.5, no date. Standard corporate consent and release form, in which Kelly gives her permission for Pagano, Inc. to use her image and likeness in exchange for a ten dollar payment. Signed at the conclusion by Kelly, adding her Social Security number underneath. In very good condition, with intersecting folds, small separation to top edge, and light overall wrinkling. R&R COA.