Talent Release Form

I hereby authorize the Producer to record and edit into the Project and related materials
my name, likeness, image, voice, and participation in and performance on videotape,
audiotape, film, photograph, or any other physical or digital medium for use in the above
Project or parts thereof. I agree that the Project may be edited and otherwise altered at
the sole discretion of the Producer and used in whole or in part for any and all
broadcasting, non-broadcasting, audio/visual, or exhibition purposes in any manner or
media, in perpetuity, throughout the world.

I hereby certify that I am over 18 years of age and am competent to contract in my own
name insofar as the above is concerned, or that I am the parent or legal guardian
authorized to sign on behalf of a person under the age of 18. I have read the foregoing
release before affixing my signature below and warrant that I fully understand the
contents thereof. I understand that this release is perpetual, that I may not revoke it, and
that it is binding on me and my heirs and assigns.