Project Submission and Release Form
FULL NAME - _______________________________________________________________
First Middle Last
ARE YOU YOUNGER THAN 18? YES ___ NO ___ IF YES, Date of Birth -__/__/____
IF YES, PARENT/GUARDIAN NAMES - ________________________________________
ADDRESS - ___________________________________________________________________
Street
_____________________________________________________________________________
City State Zip Code
PHONE # - (_ _ _) ___________________ EMAIL ________________________________
ARE YOU IN SCHOOL? – YES___ NO ___ HIGH SCHOOL OR COLLEGE? ___________
NAME OF SCHOOL____________________________________________________________
HAVE YOU EVER ACTED BEFORE? YES ___ NO ___
IF YES, WHEN and WHERE? - ______________________________________________________
MATERIALS RELEASE AND AUTHORIZATION
For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the undersigned (the “Undersigned”) hereby irrevocably grants to Original Productions Development Corporation, its parents, subsidiaries, affiliates, heirs and assigns (“Producer”) a non-exclusive license to photograph, record, reproduce, exhibit, display, broadcast, distribute, make derivative works from, edit, revise, and otherwise use in any manner the Undersign’s audio-visual audition submission, photographs, application, and any other accompanying materials, (the “Material(s)”), actually or fictionalized, in whole or in part, in Producer's sole election, including all names, photography, artwork, likenesses, images, trademarks, service marks, trade names, logos, and copyrights therein or relating thereto, in, and in connection with, the development, production, distribution, and/or exploitation of that certain initiative presently entitled “Untitled Project” (the “Project”), and all other productions in connection therewith (including, without limitation, behind-the-scenes and “making-of” programs) including all ancillary and subsidiary rights therein, and the advertising, promoting, publicizing, and/or merchandising thereof, throughout the universe, in perpetuity, in any and all languages, formats, versions, forms and media, now known and later devised. The Undersigned understands and agrees that, as between Producer and the Undersigned, Producer is the sole and exclusive owner of all rights (including, without limitation, the copyright) in and to the Project (and any other materials created by Producer in which the Material(s) appear) and that the Undersigned shall have no right therein. Without limiting any of the foregoing, the rights granted herein to Producer shall include the rights to retouch and modify the Material(s) or any part thereof, and to reproduce, record, and/or combine the same with other artwork, set dressing, photographs, likenesses, images, and/or other material in any manner whatsoever. The Undersigned hereby releases Producer from all claims, liabilities, and obligations of any kind or nature whatsoever in connection with Producer's use of the Material(s). The Undersigned understands that all matters of credit are subject Producer’s sole discretion.
The Undersigned hereby represents and warrants that the person signing below has full power and authority to execute this agreement on the Undersigned’s behalf and to grant the rights herein granted, and that no other consents, authorizations, or payments are necessary to permit the full use and enjoyment by Producer of the rights granted herein. The Undersigned further represents and warrants that the use of the Material(s) will not violate or infringe upon the trademarks, trade names, service marks, copyrights, patents, rights of privacy or publicity, or any other personal or property rights of any person or entity, nor constitute defamation. The Undersigned hereby agrees to indemnify Producer, the telecaster of the Project, their respective parents, subsidiaries, and affiliates, and each of their respective officers, directors, shareholders, employees, agents, representatives, successors, licensees, and assigns (individually and collectively, “Producer Entities”), and hold harmless each of the foregoing, from and against, all claims, actions, losses, damages, judgments, liabilities, expenses, and costs, including reasonable outside attorney's fees and costs, resulting from any breach or alleged breach of the foregoing representations and warranties. In no event shall the Undersigned have any right to seek or obtain injunctive or other equitable relief with respect to Producer Entities and/or the production, distribution, exhibition, or other exploitation of the Project and/or any other Producer production and/or the advertising, promotion, or publicizing thereof. This is the complete and binding agreement of the parties with respect to the subject matter hereof. This release cannot be terminated, rescinded, or amended hereafter except by a written agreement, signed by all parties. This agreement shall be exclusively governed by and construed in accordance with the laws of the State of California applicable to agreements entered into and wholly performed therein. For the purposes of this release, a facsimile signature shall have the full legal force and effect of an original signature.
AGREED TO AND ACCEPTED: “UNDERSIGNED” CONTACT INFORMATION:
LICENSOR
(“UNDERSIGNED”)
Sign: Company:
Name: Address:
Title:
Date: Telephone:
As the parent or guardian of the minor named above (the “Minor”), I hereby expressly approve and consent to this Material Release and Authorization and waive all obligations and rights which I may have in connection therewith. For good and valuable consideration, I hereby agree to indemnify Producers from any and all loss arising from or relating to any claims made by or on behalf of the Minor relating to the subject matter of this release form.
MINOR NAME:_______________________________________________________________
PARENT/GUARDIAN NAME: ___________________________DATE: ________________
ADDRESS: ______________________________________ TEL. #: ________________
SIGNATURE: _________________________________________________________________
full body, then frame, tell us a story of what makes you you and unique
Hard copy submissions (ie, playable DVDs) should be mailed to:
Untitled ABC Family Project
Att: Stordahl & Terry Casting
Hollywood Production Center
121 W. Lexington Drive
Building 121, Suite 206
Glendale, CA 91203
What information should be included with my tape?
Please label your tape with your personal information (full name, age, phone number, and e-mail address) and the title “Untitled ABC Family Project”
When does my tape need to be submitted by?
Please send your tape postmarked NO LATER than February 22, 2010. Tapes postmarked after this date will not be considered.
[BECCA] Overweight. Age 15 or 16. Her style is goth/Renaissance Faire. A shy bookworm, Becca expresses herself through LARPing (Live Action Role Play.) Becca instantly admires Will, and the two become partners in pranking Amber, whom they mutually dislike. Later, however, when Will befriends Amber, Becca feels rejected and betrayed.
[CHLOE] This camper is the leader among the thinner girls at fat camp. Cool and confident (despite her slight overweight.) She hides some dark secrets beneath her confident exterior.
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