MVCC Talent Release Form

MVCC-Miami Valley Communications Council > MVCC Public Records Request Form

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I hereby grant to the Miami Valley Communications Council all rights of every kind to use my photographs and/or films in its cablecast, print and internet works.

I agree that you have the right to record the material for use on all formats now known and yet to be discovered.

I agree to indemnify and hold the Miami Valley Communications Council, its agents and officers harmless against any liability associated with the distribution and or transmission of this recording.

I fully understand that all above materials may be used now and in the future by the Miami Valley Communications Council.

Date

Name: *

Email: *

Address:

Address Line 1

Address Line 2

City

State

Zip Code

Signature: (type full name)

Type Full Name as a

Signature of Parent or Guardian if Participant is a minor: (type full name)

Phone