PHOTO/VIDEO RELEASE FORM
I hereby authorize the Spectrum Empowerment Project (SEP) and the Board of Directors of the Youth
Musical Theater Company (YMTC), and those acting pursuant to its authority nonexclusive grant to:
(a) Record my likeness and voice on video, audio, photographic, digital, electronic, on line format or
on any and all other media
(b) Use my name in connection with these recordings
(c) Use, reproduce, publish, republish, exhibit, edit, modify, or distribute, in whole or in part these
recordings in all media without compensation for any purpose that the SEP, YMTC and those
acting pursuant to its authority, deem appropriate, including promotional advertising efforts.
I hereby release the SEP and YMTC board and those acting pursuant to its authority from liability, claim,
and demands for any violation of any personal or proprietary right I may have in connection with such
use, including any and all claims for libel, defamation, or invasion of privacy. I understand that all such
recordings, in whatever medium shall remain the property of the SEP and YMTC. I have read and fully
understand the terms of this release.
Name _
Address _
City _
State .Zip _
Email
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Signature Date. _
Parent/Guardian Signature (if applicable)
I hereby authorize the Spectrum Empowerment Project (SEP) and the Board of Directors of the Youth
Musical Theater Company (YMTC), and those acting pursuant to its authority nonexclusive grant to:
(a) Record my likeness and voice on video, audio, photographic, digital, electronic, on line format or
on any and all other media
(b) Use my name in connection with these recordings
(c) Use, reproduce, publish, republish, exhibit, edit, modify, or distribute, in whole or in part these
recordings in all media without compensation for any purpose that the SEP, YMTC and those
acting pursuant to its authority, deem appropriate, including promotional advertising efforts.
I hereby release the SEP and YMTC board and those acting pursuant to its authority from liability, claim,
and demands for any violation of any personal or proprietary right I may have in connection with such
use, including any and all claims for libel, defamation, or invasion of privacy. I understand that all such
recordings, in whatever medium shall remain the property of the SEP and YMTC. I have read and fully
understand the terms of this release.
Name _
Address _
City _
State .Zip _
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Signature Date. _
Parent/Guardian Signature (if applicable)