This
Blanket Release ("RELEASE")
is executed on the date indicated below in
favor of Esplanade.tv and / or it's agents, principals, assigns,
successors, licensees, and
any business entity with which Esplanade.tv and / or it's affiliates / or entities it beneficially
owns or may
own any interest in whatsoever (collectively referred to as
Esplanade.tv ). I irrevocably
and forever authorize Esplanade.tv to publish in print or on the Internet, air on television, broadcast
publicly and on the radio or stream over the Internet, upload to YouTube, reproduce and distribute or sell on video, CD, DVD, MP3 or Download, copy,
manipulate, alter, display, exhibit, sell, license, lease, or convey in any way and at any time and any number of times and anywhere throughout the world
any or all images of me (or my property) or audio from me or about me (or my property). I am 18 years of age (or older) at the time I am signing this
release or have a guardian signing on my behalf who is 18 years of age ( or older ). If submitting video that you own and authorize Paul Howard Productions and / or
Esplanade.tv to use, please clearly print your contact information, complete and sign this release, and mail it along
with your video content to: Esplanade.tv, Box 4000, Felton, CA 95018. All tapes / media / content received become the property of Paul Howard Productions and / or
Esplanade.tv. No tapes / no media / no content shall be returned. Video content used in any video, promo, TV show episode
or any production produced by Esplanade.tv may receive recognition in the show credits. No money shall be paid now or in the future for video used in
any episode produced by Esplanade.tv. I am participating
in a Reality TV show by my own choice and will and am in no way the responsibility of
Esplanade.tv and I hold harmless
Esplanade.tv if I become injured on or at a location where Esplanade.tv is producing a TV show.
Age: ___________ Talent #
1
Signed_________________________________________________Date_________________________
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Address____________________________________________________________________________
City_________________________________
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Signature____________________________________________________________________
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Age: ___________ Talent #
2
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Best Phone Number To Call or Text You __________________________________________________
Address____________________________________________________________________________
City_________________________________
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Age: ___________ Talent #
3
Signed_________________________________________________Date_________________________
Name_____________________________________ Email Address_____________________________
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Address____________________________________________________________________________
City_________________________________
State_________ Zip______________________________
Additional Phone
Number/s_____________________________________________________________
Witness Signature____________________________________________________________________
Witness Name_______________________________________________________________________ |
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