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PERSONAL

APPEARANCE

RELEASE

 

 

For good and valuable consideration, the sufficiency and receipt of which I hereby acknowledge, I hereby irrevocably grant to MISCELLANEOUS Productions Society (the “Producer”) and its subsidiaries, affiliates, licensees, successors and assigns, and whomever it or they may further designate, all rights whatsoever in and to all my work, voice, performances and appearances and in all of the products of my services rendered for the Producer, as recorded by audio and/or visual recordings, including still, moving picture and sound recordings, of me made for use in MISCELLANEOUS Productions’ website, documentation video and other electronic mediums for the works with the titles of Distance Hats Workshop or in any other work in which any part or all of such recordings are used (individually and collectively, the “Production”), including but not limited to the right throughout the universe, in perpetuity and in all languages, markets, formats and media now known or hereafter devised:

a) to use, reproduce, distribute, publish, sell, lease, rent, lend, display (whether in whole or in part and whether sequentially or non-sequentially) and publicly or privately perform or otherwise commercially use all such recordings of me as part of any Production and with any related product documentation, advertising and publicity in connection with any Production;

b) to edit, adapt, convert to digital machine-readable formats, dub my voice, double my likeness and combine such recordings of me with other recordings in any manner whatsoever for the purposes of this release; and

c) to use, publish and advertise my name, biography and likeness (photographic or otherwise) in any and all manner and medium, provided such use is solely for the purpose of packaging, advertising or publicizing a Production under this release and shall not be used as an endorsement of any product or service other than such Production;

All as the Producer may determine without restriction.

I hereby release and discharge the Producer and its respective representatives, licensees, successors and assigns from all manner of actions, causes of action, debts, accounts, contracts, claims and demands whatsoever which I or my heirs, executors, administrators or assigns can, shall or may have at any time as a result of any act, matter or thing whatsoever arising out of or in connection with the consent and authorization given by me in this release.  Without limiting the generality of the foregoing, I expressly release the Producer and its agents, employees, licensees, successors 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 the production, distribution, exhibition or other use of the photographs or recordings made hereunder.

This release shall be binding on my heirs, executors, administrators and assigns.

 

 

 

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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