You are on page 1of 1

AUDIENCE MEMBER RELEASE

(“Release”)

As of February 8th, 2018

For good and valuable consideration, including the possibility of appearing in the Program (defined below), the receipt and sufficiency of
which is hereby acknowledged, the undersigned (“I”, “me” and derivatives) hereby certify, acknowledge and agree, as applicable, to the
following:

I agree that RadicalMedia LLC (“Company”), with an address at 435 Hudson Street, 6th Floor, New York, NY 10014, may photograph
and film/tape me, and record my voice and sounds, if and as applicable, and that Company shall be the owner of the results and proceeds of
such photography, filming/taping and recording and shall have the right, throughout the universe, to use and to license others to use in any
manner, all or any portion thereof, or a reproduction thereof, and my name, voice and likeness and any biographical material that I provide,
in connection with the contemplated audio-visual series sometimes referred to as “David Letterman Talk Project (wt)” (the “Program”)
and the advertising, marketing and promotion thereof, and otherwise in Company’s sole discretion, throughout the universe, in
perpetuity, in any and all media now known or hereafter devised. All physical embodiments of such photography, filming/taping and
recordings shall be known as the “Materials.”

I acknowledge that Company is under no obligation to utilize any rights granted to Company hereunder, and I hereby waive any right
of inspection or approval of my appearance in the Materials, the Program, or otherwise. Company shall have the unlimited right to
edit, rearrange, vary, change, alter, modify, add to, and delete from the Materials, and my appearance therein, and the results and
proceeds of any services rendered by me in connection with the Program, in its sole discretion.
I represent and warrant that: I have the right and authority to enter into this Release and to grant the rights granted herein; I am over 18
years of age (or if under 18, my parent or legal guardian will sign below to signify their consent on my behalf to the terms and
conditions of this Release); and the consent of no other individual or entity is required for Company to exercise its rights hereunder. I
hereby release and discharge, and will indemnify, defend and hold harmless, Company, its successors, licensees and assigns, and any
representatives thereof, from and against any claims, damages, liabilities, losses, costs and expenses (including attorneys’ fees and
expenses) suffered or incurred arising out of, or in connection with, the exercise of any rights granted to Company hereunder or the
inaccuracy, breach or alleged breach of any representation, warranty or agreement made by me in this Release.

I agree not to disclose or make available to any third party any information concerning the Program to which I may have gained
access (including the identity of any individual interviewed by David Letterman or the location of any filming), including, without
limitation, by engaging in communications with anyone, or posting information of any kind, on social media sites such as
Facebook, Instagram, etc., without Company’s prior written permission in each instance.

I acknowledge and agree that Company may, in its sole discretion, assign or license its rights under this Release to third parties, and that
Company and such assignees or licensees will rely on and incur certain expenses based on the grants and permissions given to Company
under this Release. I acknowledge that, other than as stated herein, Company has not said or promised anything to induce me to grant
Company this Release. This Release, and all the rights granted to Company hereunder, are irrevocable and not subject to rescission,
revocation or termination. My sole remedy under this Release shall be an action at law for money damages, if any, and in no event shall I
seek, or be entitled to receive, injunctive or other equitable relief that would enjoin or restrain the development, production, distribution,
marketing, advertising, promotion or exploitation of the Program (or any rights therein or related thereto) or the physical embodiments of
any photography or recordings make of me hereunder. This Release is the entire agreement between me and Company with respect to the
subject matter hereof and shall be governed by the laws of the State of New York applicable to agreements made and wholly performed
therein, without giving effect to the conflicts of law provisions thereof.

________________________________ _______________________________________
(Print Name of Audience Member) (Print Name of Parent/Legal Guardian, if minor)

________________________________ _______________________________________
(Signature of Audience Member) (Signature of Parent/Legal Guardian, if minor)

_____________________________________________________________________________
(Address)

_______________________________ ____________________________________
(Phone) (Email)

You might also like