1-732-640-6397
connect@carmelosoberanovisuals.com
I authorize the undersigned Organizer/Producer to make use of my appearance on:
Event Title
ORGANIZER
DATE OF EVENT
I understand that I am not to receive any additional compensation for this appearance. The Organizer/Producer shall have complete ownership of the program. I give the Organizer/Producer the right to use my name, likeness and biographical material to publicize the program and the services of the Organizer/Producer. The Organizer/Producer may use my name and likeness for the purposes of education, promotion or advertising of the photographs, recordings and any copies so made. The Organizer/Producer may photograph me and record me/my voice and likeness for the purpose of the production mentioned above, whether by film, videotape, and digitally or otherwise. The Organizer/Producer may make copies of the photographs and recordings so made. I further understand the master tape remains the property of the Organizer/Producer and that there will be no restrictions on the number of times that my name and likeness may be used. I also consent to the use of any printed matter in conjunction therewith. I hereby waive any right that I may have to inspect and/or approve the finished product or products or the editorial, advertising, or printed copy or soundtrack that may be used in connection therewith and any right that I may have to control the use to which said product, products, copy and/or soundtrack may be applied.
Name of Participant: (please print)
Date
Address
City
State
Zip Code