PHOTO RELEASE FORM

 

I hereby grant PREMIERE FOR KIDS, PREMIERE PRODUCTIONS, the BROADWAY THEATER and OFF BROADWAY THEATER’S the irrevocable and unrestricted right to use and publish photographs of me in which I may be included, for editorial, trade, and advertising and any other purpose and in any manner and medium; to alter the same without restriction; and to copyright the same.  I hereby release all claims and liability relating to said photographs.

Date ________________

Name (print)_______________________________________

Signature__________________________________________

Address___________________________________________

City____________________State_________Zip___________

If minor, signature of Parent/Guardian

______________________________________

Witness_____________________________