TALENT’S NAME:____________________________________________

PROJECT TITLE:______________________________________________

I hereby consent (for value received and without further consideration or compensation) to the use (full or in part) of all video capture taken of me and/or audio recordings of my voice or other and/or written extraction, in part or whole, of such recordings or musical performance at: ___________________________  on:_____________________________.

  (Recording Location)                                  (Date)

This talent release for is for the student use of:

_________________________  for:____________________________.

(Name of Producer)                           (Name of Production Company)

This student is representative of Poway High School and the Poway High School R.O.P. Digital Media Production program and releases uses of these recordings for this program to illustrate, broadcast, distribute or display in any manner seen fit for the production.

TALENT’S SIGNATURE:_______________________________________.

TALENT’S ADDRESS:_________________________________________.

DATE:_________________________.

If the Talent is a minor (under the age of 18), within the laws and release guideline of the state of California (guidelines for acting, modeling or performing), a guardian will sign below:

LEGAL GUARDIAN SIGNATURE:_______________________________.

L.G. ADDRESS:_______________________________________________.

DATE:_________________________.