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STANDARD TALENT RELEASE FORM PARTICIPANT S NAME SERIES/PROGRAM TITLE PRODUCTION DATES In consideration for the opportunity to participate in the above-identified program produced by means and that I shall receive as not receive any compensation for my participation. I further agree that my participation in the program confers upon me no rights of use ownership or copyright. I release Production company its employees agents and assigns from all liability for any claims by me or any third party in connection with my participation in the program* I confirm that any and all material furnished by me for this program is either my own or otherwise authorized for such use without obligation to me or to any third party. I also agree to the use of my name likeness portrait or pictures voice and biographical material about me for educational program publicity and organizational promotional purposes. I hereby agree and consent to appear on the above-identified program and I promise and obligate myself to appear thereon unless the program is cancelled or I am indisposed or unable to appear because of a reason or cause unforeseeable at this time. Date By Signature Street Address City State Zip Social Security I am the parent and/or guardian of the above-named minor and I endorse the above statement in his/her behalf*. I release Production company its employees agents and assigns from all liability for any claims by me or any third party in connection with my participation in the program* I confirm that any and all material furnished by me for this program is either my own or otherwise authorized for such use without obligation to me or to any third party. I also agree to the use of my name likeness portrait or pictures voice and biographical material about me for educational program publicity and organizational promotional purposes. I also agree to the use of my name likeness portrait or pictures voice and biographical material about me for educational program publicity and organizational promotional purposes. I hereby agree and consent to appear on the above-identified program and I promise and obligate myself to appear thereon unless the program is cancelled or I am indisposed or unable to appear because of a reason or cause unforeseeable at this time. I hereby agree and consent to appear on the above-identified program and I promise and obligate myself to appear thereon unless the program is cancelled or I am indisposed or unable to appear because of a reason or cause unforeseeable at this time. Date By Signature Street Address City State Zip Social Security I am the parent and/or guardian of the above-named minor and I endorse the above statement in his/her behalf*. I release Production company its employees agents and assigns from all liability for any claims by me or any third party in connection with my participation in the program* I confirm that any and all material furnished by me for this program is either my own or otherwise authorized for such use without obligation to me or to any third party. I also agree to the use of my name likeness portrait or pictures voice and biographical material about me for educational program publicity and organizational promotional purposes. I hereby agree and consent to appear on the above-identified program and I promise and obligate myself to appear thereon unless the program is cancelled or I am indisposed or unable to appear because of a reason or cause unforeseeable at this time. .

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