This
Blanket Release ("RELEASE") is executed on the date indicated below in
favor of Paul Howard, personally, his agents, principals, assigns,
successors, licensees, and any business entity in which Paul Howard
directly or beneficially owns or may own any interest in whatsoever
(collectively referred to as Producer). I irrevocably and forever
authorize the Producer Paul Howard and Pool Party to
publish in print or on the internet, air on television, broadcast publicly
and on the radio, reproduce and distribute or sell on video, CD or DVD,
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 audio from or about me.
If submitting video that you own and authorize Pool Party
to use, print, complete and sign this release, and mail it along with your
video content to: Pool Party Box 4000, Felton, CA 95018.
All tapes received become the property of Pool Party. Tapes
and video content will not be returned. Video content used in an episode
of Pool Party will receive recognition in the show credits.
No money shall be paid now or in the future for video used in any episode
of Pool Party.
Talent # 1
Signed___________________________________Age___________Date_________________________
Name_____________________________________Driver's Lic. #___________________________
Address__________________________________________________________________________
City_________________________________ State_________ Zip___________________________
Contact Phone Number/s____________________________________________________________
Witness Signature__________________________________________________________________
Witness Name_____________________________________________________________________
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Talent # 2
Signed___________________________________Age___________Date_________________________
Name_____________________________________Driver's Lic. #___________________________
Address__________________________________________________________________________
City_________________________________ State_________ Zip___________________________
Contact Phone Number/s____________________________________________________________
Witness Signature__________________________________________________________________
Witness Name_____________________________________________________________________
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Talent # 3
Signed___________________________________Age___________Date_________________________
Name_____________________________________Driver's Lic. #___________________________
Address__________________________________________________________________________
City_________________________________ State_________ Zip___________________________
Contact Phone Number/s____________________________________________________________
Witness Signature__________________________________________________________________
Witness Name_____________________________________________________________________
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Talent # 4
Signed___________________________________Age___________Date_________________________
Name_____________________________________Driver's Lic. #___________________________
Address__________________________________________________________________________
City_________________________________ State_________ Zip___________________________
Contact Phone Number/s____________________________________________________________
Witness Signature__________________________________________________________________
Witness Name_____________________________________________________________________
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