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Talent Release Form 1

Talent Release Form 1
(Rev. February 22, 2002)
I authorize the undersigned Producer to make use of my appearance on:
PROGRAM TITLE: _______________________________________
PRODUCER’S NAME: ____________________________________
PRODUCER’S PHONE NUMBER: __________________________
DATE OF TAPING: _______________________________________
I understand that I am to receive no compensation for this appearance. The Producer shall
have complete ownership of the program. I give the Producer the right to use my name,
likeness and biographical material to publicize the program and the services of the
The Producer may:
1. Photograph me and record my voice and likeness for the purpose of the
production mentioned above, whether by film, videotape, magnetic tape, digitally
or otherwise;
2. Make copies of the photographs and recordings so made;
3. Use my name and likeness for the purposes of education, promotion or
advertising of the sale or trading in the photographs, recordings and any copies so
I further understand the master tape remains the property of the Producer and that there
will be no restrictions on the number of times that my name and likeness may be used.
Name (please print)_____________________________________ Date: _____________
Address ________________________________________________________________
City __________________________________ State ________ Zip Code ___________
Talent Signature (Parent or Guardian if under 18 years of age)
_________________________________________ Date: ______________________
Talent Release Form 1