TALENT RELEASE FORM Consent This form is my confirmation and acknowledgement that I, ______________________________ _____________________________________________________________________________ (full name, address)
hereby consent to be photographed, recorded and/or filmed by the Producer for: Project Title: _______________________________________________________________________ (name of project)
by Producer: ____________________________________________________________________, (producers name, address)
on the following terms. 1. The Producer will own any and all rights in the photography, recording or filming. 2. I hereby consent to for the Producer and/or its representatives, agents and related entities to Use any photographs, films, videos, digital recordings or audio recordings of my Appearance for promotional, commercial, marketing or any other purpose whatsoever, whether or not accompanied by any narration or dialogue, by any present or future media or means known or unknown. 3. I waive all personal rights and objections to, including the right to inspect, any Use of my Appearance by the Producer in connection with the Project. 4. I understand that the Producer has relied upon my consent in allowing my participation in the Project. 5. I understand that I will not receive any compensation or payment or any form of remuneration now or in the future in consideration for the above consent. 6. I understand that the images, recording or footage may be used for broadcast on Channel 31 and Channel 31’s website and other online services maintained by Channel 31. Definitions (a) Appearance means my name, image, physical likeness, voice, any and all attributes of my personality and/or performance; (b) Producer means the producer named and addressed above; (c) Project means the production which is titled above; (d) Use means lawful use and includes the exclusive and perpetual right of the Producer in any jurisdiction worldwide to:(i) use, copy, adapt and/or exploit; (ii) mix, edit, duplicate, or re-use, or create derivative works; (iii) assign, license or sub-license; and (iv) publicise and/or market; (v) exhibit and/or perform and/or distribute by any present or future media, for profit or otherwise, and for commercial or non-commercial use. Signed by Releasor: _____________________
Printed Name: _______________________
Dated: _______________________________________ Witnessed: _______________________________________ (name and signature of witness) NOTE: if the subject is under 18 years of age, the subject’s legal guardian must also give consent by signing below:
Signed by Legal Guardian:
Legal Guardian’s Printed Name:
_____________________
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