TALENT CONSENT AND RELEASE FORM
JUMPCAST PRODUCTIONS PRESENTS
WALL STREET THEATER – NORWALK CT,
CONNECTICUT’S GOT TALENT
I am participating as indicated in the above event/contest and LIVE STREAM (the “EVENT”). In consideration of my appearance in the EVENT, and without any further consideration from you, I hereby grant permission to you to utilize my appearance in connection with the EVENT in any and all manner and media and all rights of every kind and character whatsoever in perpetuity in and to my performance, appearance, name and/or voice and the results and proceeds thereof (the “Performance”) in connection with the EVENT, and I hereby authorize Production Company to photograph and record (on lm, digital, video, tape, or otherwise), the Performance; to edit same at its discretion and to include it with the performance of others and with sound e ects, special e ects and music; to incorporate same into the Picture or other program or not; to use and to license others to use such re- cordings and photographs in any manner or media whatsoever, including without limitation unrestricted use for purposes of publicity, advertising and sales promotion; and to use my name, likeness, voice, biographic or other information concerning me in connection with the EVENT, commercial tie-ups, merchandising, and for any other purpose. I further acknowledge that Production Company owns all rights to the results and proceeds of my services rendered in connection herewith.
I agree that my participation in the EVENT may be edited in your sole discretion. I consent to use of my name, likeness, voice and biographical material about me in connection with EVENT publicity and related institutional promotional purposes. I expressly release you, your agents, employees, licensees and assigns from and against any and all claims which I have or may have for invasion of privacy, defamation or any other cause of action arising out of production, distribution, broadcast or exhibition of the EVENT.
IF TALENT IS UNDER 18:
I represent that I am a parent (guardian) of the minor who has acknowledged and agreed to the above release and I hereby agree that we shall both be bound thereby.
