Internet Talent Release Form
Talent Name: ____________________ Project Title: ____________________________
I hereby consent for value received and without further consideration or compensation to the use (full or in part) of all videotapes taken of me and/or recordings made of my voice and/or written extraction, in whole or in part, of such recordings or musical performance
at __________________________ on ________________________ 20_______
(Recording Location) (Month) (Day) (Year)
by ______________________________ for ______________________________
(Producer) (Producing Organization)
for use at the CyberCollege and the InternetCampus web sites.
Talent's signature__________________________________________________
Address ________________________________ City _____________________
State ____________________ Zip code _____________
Date: ____/____/____
__________________________
If the subject is a minor under the laws of the state where modeling, acting, or performing is done:
Legal guardian _________________________ ___________________________
(sign/print name)
Address _____________________________ City ________________________
State ______________________ Zip Code ___________
Date: ____/____/____
NOTE: This is for illustration purposes only.
© 2004, All Rights Reserved
