Page 197 - Duct Tape Marketing

181Chapter 12: Broadcasting Ads on Radio and TV

TALENT & MODEL RELEASE FORM

Project:
Business:

For valuable consideration I do hereby authorize (name of company)
or those acting on its authority to:

■ Record my participation and appearance on video tape, audio tape, film,
photograph, or any other medium

■ Use my name, likeness, voice, and biographical material in connection with those
recordings

■ Exhibit or distribute such recording in whole or in part without restrictions or
limitations for any educational or promotional purpose deemed appropriate by
(name of company)

I have read this agreement before signing below, and understand its contents.

Name (Print) Date
Address
City, State, Zip
SSN (for paid talent only)
Phone number
Signature

Figure 12-1: Signature of parent or guardian if talent is under 18 years of age
Sample Date
talent
release Witness signature Date
form.