Dance Party™ Release

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 Dance Party™ to publish in print or stream over 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 Dance Party™ to use, print, complete and sign this release, and mail it along with your video content to: Dance Party™ Box 4000, Felton, CA 95018. All tapes received become the property of Dance Party™. Tapes and video content will not be returned. Video content used in an episode of Dance 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 Dance Party™.

Talent # 1
Signed___________________________________Age___________Date_________________________
Name_____________________________________Driver's Lic. #___________________________
Address__________________________________________________________________________
City_________________________________ State_________ Zip___________________________
Contact Phone Number/s____________________________________________________________
Witness Signature__________________________________________________________________
Witness Name_____________________________________________________________________

Talent # 2
Signed___________________________________Age___________Date_________________________
Name_____________________________________Driver's Lic. #___________________________
Address__________________________________________________________________________
City_________________________________ State_________ Zip___________________________
Contact Phone Number/s____________________________________________________________
Witness Signature__________________________________________________________________
Witness Name_____________________________________________________________________

Talent # 3
Signed___________________________________Age___________Date_________________________
Name_____________________________________Driver's Lic. #___________________________
Address__________________________________________________________________________
City_________________________________ State_________ Zip___________________________
Contact Phone Number/s____________________________________________________________
Witness Signature__________________________________________________________________
Witness Name_____________________________________________________________________

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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