SixTwelve Film Release

I authorize the undersigned Producer to make use of my appearance on: PROGRAM TITLE: SixTwelve Spring Break Film Camp Film PRODUCER’S NAME: SixTwelve PRODUCER’S PHONE NUMBER: 405-208-8291 DATE OF Filming: March 11-15, 2019

I understand that I am to receive no compensation for this appearance. The Producer shall have complete ownership of the program. I give the Producer the right to use my name, likeness and biographical material to publicize the program and the services of the Producer.

The Producer may:

  1. Photograph me and record my voice and likeness for the purpose of the production mentioned above, whether by film, videotape, magnetic tape, digitally or otherwise;

  2. Make copies of the photographs and recordings so made

  3. Use my name and likeness for the purposes of education, promotion or

    advertising of the sale or trading in the photographs, recordings and any copies so made.

I further understand the master tape remains the property of the Producer and that there will be no restrictions on the number of times that my name and likeness may be used.

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Camper Name
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Address
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