Release Form - The Frugal Chef

VIDEO WAIVER/RELEASE FORM

I hereby give my full permission for the use of my name, picture, image, likeness, actions, voice, or other personally identifiable information, in whole or in part, individually or in conjunction with other images, as part of a video to be used by the The Frugal Chef on the internet, youtube, The Frugal Chef website, Television, Motion Picture, print or any current or future print, film or digital media.

I waive all rights of privacy or compensation, which I may have in connection with such use of my name, picture, image, likeness, actions, voice or other personally identifiable information. I grant Mary Ann Jacobs Allen and The Frugal Chef and its officials, employees, representatives, agents, licensees, successors and assignees the irrevocable and unrestricted right to use my name, picture, image, likeness, actions, voice or other personally identifiable information associated with such video in all formats, media and in all manners, including composite or altered representations, for advertising, trade or any other lawful purposes.

I waive any right to inspect or approve the finished version(s), including written copy that may be created in connection with the video production, editing and promotion therewith.

THIS FORM MUST BE COMPLETED by all individuals appearing in the video and all forms must be included with the video entry.

Name*

Address*

Date*

CONSENT (required for individuals under the age of 19 years of age)

I am the parent or guardian of the minor named above and have the legal authority to execute a wavier and release on his or her behalf as stated above.
Name

Address

Date

* I am over 19 years-of-age and I have read this release and am fully familiar with its contents.

Please leave this field empty.