Talent release form

I authorize the producer to use my appearance on:

PROGRAM TITLE: ___________________________________________________________________

PRODUCER’S NAME: ________________________________________________________________

PRODUCER’S PHONE NUMBER: ____________________________________________________

DATE OF TAPING: ___________________________________________________________________

I am of the understanding that I am to receive no compensation for my appearance. The producer’s will have the ownership of the program. I am giving the producer the right to use my name, likeness and biographical material to publicize the program and the services of the producer.

The producer may:

1. Record my voice and photograph me and likeness for the purpose of the production mentioned above, whether by film, videotape, digitally, magnetic tape or otherwise.

2. Make copies of the photographs and the recordings3. Use my name and likeness for the purpose of education, promotion or advertising

of the sale or trading in the photographs, recording and any copies that are mad.

I also 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: ______________________________________________________________________

Address: ____________________________________________________________________

City/county: ____________________________ Postcode: _______________________

Talent Signature:(Parents/Guardians signature if under the age of 18 years old)

___________________________________________ Date: _____________________________