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TalentScout Management release
form:
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(Type or Print ONLY)
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First Name: ____________________ Last
Name:___________________________________
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Mailing Address________________________________________________________________
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| City: ________________________ State: __________ Zip
Code/Postal Code:_______________
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| Country: _____________ Email
Address:______________________________________________
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| Phone: _______________________
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Title of submitted
material:__________________________________________Pages:______
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| Type:
Screenplay ( ) Book ( ) Play ( )
Short Story ( )
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Brief synopsis (fifty words max.):
____________________________________________________
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______________________________________________________________________ |
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______________________________________________________________________ |
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______________________________________________________________________ |
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______________________________________________________________________ |
My signature below attests:
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A.
To the accuracy of the information provided.
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B.
That the material submitted is my sole and original work and that I own
all rights to it.
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C.
To my holding TalentScout and all those involved in
it, harmless from and defends them against all claims demands, losses, costs,
damages, judgments, liabilities and expenses (including attorney's fees)
arising out of or in connection with any and all claims of third parties,
whether or not groundless, based on any stories submitted to the competition or
on any screenplay developed out of such stories.
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| D.
That I recognize that TalentScout and those
involved in the company, may have access to, and/or, may have created, or
have commissioned, through some other independent source,
or may have otherwise acquired, literary materials and
concepts, similar to the material submitted hereunder, in
theme idea, plot, format, or in any other respect. I agree
that I will not under such circumstances, be entitled to
any compensation, nor consideration of any kind, through
the use by TalentScout of any material so acquired. The
ownership of any literary work submitted shall remain
vested in the author, until otherwise assigned by
contract.
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E. That the burden of obtaining copyright or otherwise protecting any proprietary
interests in the material rests entirely with me. |
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Author's signature:
________________________________ Date: _________________
Fax: 206-203-1256 |
