MVTV - Talent Release Form

MVTV Talent Release Form

Submit your talent release form for MVTV productions. Required for all participants appearing in Martha's Vineyard Community Television programming.

Participant:

Production:

Production Location:

Production Date:

Producer:

Producer’s Phone Number:

Email address:

I WILL BE PARTICIPATING/HAVE PARTICIPATED IN THE ABOVE PROGRAM WHICH I UNDERSTAND MAY BE PRODUCED AND RECORDED FOR DUPLICATION AND DISTRIBUTION THROUGHOUT THE UNITED STATES AND ABROAD.

I AGREE THAT INSOFAR AS I AM CONCERNED, THIS PROGRAM MATERIAL MAY BE EDITED AS DESIRED AND USED IN WHOLE OR IN PART FOR CABLE CASTING OR BROADCASTING PURPOSES, FOR AUDIO AND/OR VISUAL, CASSETTE, AND CLOSED CIRCUIT EXHIBITION PURPOSES, AND ALL OTHER PURPOSES IN ANY MATTER OR MEDIA. I CONSENT TO PUBLICATION OF THE PROGRAM TRANSCRIPT IN WHOLE OR IN PART AND TO THE USE OF MY NAME, LIKENESS, AND VOICE IN CONNECTION WITH PROGRAM PUBLICITY AND FOR INSTITUTIONAL PROMOTIONAL PURPOSES. I ALSO RELEASE THE PRODUCER AND MARTHA’S VINEYARD COMMUNITY TELEVISION (MVTV) FROM ANY PRIVACY, DEFAMATION OR OTHER CLAIMS I MAY HAVE ARISING OUT OF THE RECORDING, REPRODUCTION, CABLE CASTING, BROADCASTING, EXHIBITION, PUBLICATION, OR OTHER DISTRIBUTION AND PROMOTION OF THIS PROGRAM MATERIAL.

Signature:

*I understand and agree that electronically typing my name constitutes a legally binding signature. I agree that the electronically stored copy of my signature, authorizations, and documents will be considered the true, accurate, and enforceable record. I will not contest the admissibility or enforceability of these documents.

Date:

Print Name:

Address:

Phone number:

I, PARENT/GUARDIAN OF THE MINOR WHO AS SIGNED THE ABOVE TALENT RELEASE, HERBY AGREE THAT WE SHALL BOTH BE BOUND THEREBY.

Parent/Guardian Signature:

Date:

Thank you! Your submission has been received!

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