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Talent Release Form
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– Program Info
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URL
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Program Title
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Member Producer Name
*
First
Last
Producer Email
*
Production Location
*
Production Date
*
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Talent Name
*
First
Last
Talent Address
Street Address
Address Line 2
City
State
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ZIP Code
Talent Email
Talent Phone
*
Consent
*
I hereby assign all rights and release from liability the producer(s) and 1623 Studios (Cape
Ann Regional Cable Television Access Corporation) for the recording, reproduction, exhibition, telecasting, webcasting, and distribution of my visual image and voice.
I hereby consent that any content, which has been or is about to be made by the above
producer(s) may be used for the purposes explained
I have read and agree to this consent
Signature
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