Talent Release Form 1
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TALENT RELEASE FORM
(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
Producer.
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