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Talent Release for Glitch Bar Ad

This talent consent form is for a commercial production titled "Glitch Bar Commercial" taking place at 905 Northeast 5th Ave, Fort Lauderdale, Florida. [The form] grants the production company full rights to use the talent's appearance, performance, name, likeness, and voice in the commercial and any future promotions indefinitely. The talent agrees their participation may be edited at the company's discretion and releases the company from any legal claims regarding the commercial's production or distribution.

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147 views1 page

Talent Release for Glitch Bar Ad

This talent consent form is for a commercial production titled "Glitch Bar Commercial" taking place at 905 Northeast 5th Ave, Fort Lauderdale, Florida. [The form] grants the production company full rights to use the talent's appearance, performance, name, likeness, and voice in the commercial and any future promotions indefinitely. The talent agrees their participation may be edited at the company's discretion and releases the company from any legal claims regarding the commercial's production or distribution.

Uploaded by

Valiant V
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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TALENT CONSENT & RELEASE FORM

PRODUCTION COMPANY LOCATION


COLD ONES PRODUCTION 905 NORTHEAST 5TH AVE

PROJECT TITLE FORT LAUDERDALE, FLORIDA 33304

“GLITCH BAR COMMERICAL” (ALL MEDIA)

I have participated as indicated on the above project (the “Glitch Bar Commercial”). In consideration of my
appearance in the Glitch Bar Commercial, and without any further consideration from you, I hereby grant
permission to you to utilize my appearance in connection with the Glitch Bar Commercial in any and all manner and
media and all rights of every kind and character whatsoever in perpetuity in and to my performance, appearance,
name and/or voice and the results and proceeds thereof (the “Performance”) in connection with the Glitch Bar
Commercial, and I hereby authorize Production Company (“Cold Ones Production”) to photograph and record (on
film, digital, video, tape, or otherwise), the Performance; to edit same at its discretion and to include it with the
performance of others and with sound effects, special effects and music; to incorporate same into the Glitch Bar
Commercial or other program or not; to use and to license others to use such recordings and photographs in any
manner or media whatsoever, including without limitation unrestricted use for purposes of publicity, advertising and
sales promotion; and to use my name, likeness, voice, biographic or other information concerning me in connection
with the Glitch Bar Commercial, commercial tie-ups, merchandising, and for any other purpose. I further
acknowledge that Production Company (“Cold Ones Production”) owns all rights to the results and proceeds of my
services rendered in connection herewith.

I agree that my participation in the Glitch Bar Commercial may be edited in your sole discretion. I consent to use of
my name, likeness, voice and biographical material about me in connection with Glitch Bar Commercial publicity
and related institutional promotional purposes. I expressly release you, your agents, employees, licensees and
assigns from and against any all claims which I have or may have for invasion of privacy, defamation or any other
causes of action arising out of production, distribution, broadcast or exhibition of the Picture.

TALENT SIGNATURE PRINT NAME

PHONE NUMBER DATE

EMAIL ADDRESS

IF TALENT IS UNDER 18 YEARS OLD:

I represent that I am a parents (guardian) of the minor who has signed the above release and I hereby agree that we
shall both be bound thereby.

SIGNATURE PRINT NAME DATE

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