Talent Release Form Adult Or Minor Original Talent_release_form_adult_or_minor
User Manual: original-talent_release_form_adult_or_minor
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Talent Release Form - Adult or Minor
I, _____________________________________________ hereby consent,
[Print Name of Person Appearing in Video]
and by this Release grant my permission for Nantucket Community Television, (NCTV) to record and/or tape my
image and voice by means of the videotape and audio recording made during
I understand that NCTV named above working on this videotaping may use said videotape for non-commercial
exhibition on Channel 18, NCTV, Public Access Channel, in the Town of Nantucket, or NCTV Website or Social
Media or for any similar exhibition on any non-commercial, Public – Educational- Governmental Access TV
Station. By my signature below, or if I am a minor, by the signature of my parent or guardian, I relinquish all rights
to any remuneration for this or subsequent uses of the above recordings. It is understood that these recordings may
be edited by the Producer named above, for the purpose of such non-commercial telecasts described above, at the
discretion of the Producer. I further agree to indemnify and hold harmless the Producer, NCTV, the cable companies,
the Town of Nantucket, their employees and officers or designees from any and all claims or liabilities relating to
my appearance at this videotaping and any non-commercial exhibition thereof.
______________________________________
[NAME of Person Appearing in Video]
________________________________________
[SIGNATURE of Person Appearing in the video or Parent/Guardian]
___________________________
[Date]
____________________________________________ ______________________ ______________
[Mailing Address]
_____________________________________________________________________________________________
[Town or City] [State/Zip Code]
____________________________________
[Email Address]
____________________________________
[Cell phone or work phone]
