APPENDIX 4

TALENT RELEASE

For good and valuable consideration, the receipt of which is hereby acknowledged, I, _____________, of ______________,
                              (Releasor)      (Address)

this _____ day of ____________, ______ hereby irrevocably grant and
        (Date)            (Month)          (Year)

release to ______________________________
              (Releasee/Producer)
and his/her representatives, licensees, successors and assigns and heirs ("Releasee") the right to interview me, to photograph and film and otherwise visually and audiovisually record me, in traditional or digital formats now known or hereafter to become known, and to so record my voice in connection with the production of the Public Access program (the "Program") described below:

Program Title:_________________________________________

Organization (if applicable)___________________________

Name(s) of the Public Access Producer(s)_______________

_______________________________________________________

I, the undersigned, also hereby irrevocably grant to the Releasee, with respect to the photographs, films, tape or recordings (the "Pictures") taken of me by or on behalf of Releasee, the unrestricted absolute, perpetual, worldwide right to:

    1. Reproduce, copy, modify, create derivatives in whole or in part, or otherwise use the Pictures or any part thereof in combination with or as a composite of other matter, including, but not limited to, text, data, images, photographs, illustrations, animation and graphics, video or audio segments of any nature, in any media or embodiment, now known or hereafter to become known, including, but not limited to, all formats of computer readable electronic magnetic, digital, laser or optical-based media (the "Works");
    2. Use and permit to be used my name, whether in original or modified form, in connection with the Works as Releasee may choose; and,
    3. Display, perform, exhibit, distribute, transmit or broadcast the Works by any means known or hereafter to become known.

I hereby waive all rights and release The Authority (its affiliates, officers, directors, employees and agents) and the Releasee from, and shall neither sue nor bring any proceeding against any such parties for, any claim or cause of action, whether now known or unknown, for defamation, invasion of right to privacy, publicity or personality or any similar matter, based upon or relating to the use and exploitation of the Pictures.

I agree that there shall be no obligation to utilize the authorization granted by me hereunder. The terms of this authorization shall commence on the date hereof and be without limitation.

I warrant and represent that I am free to enter into this agreement.

______________________ _____________________
(Releasor - Signature)  (Witness - Signature)

______________________ _____________________
(Address)              (Witness - Print Name)

Dated:________________

NOTE: If the Releasor is seventeen (17) years of age or less, have parent or legal guardian sign the following:

On this ____ day of _____________, ________, I _________________,
            (day)            (Month)            (Year)        (Parent/Legal Guardian)

on behalf of ________________________ my ____________________________
                  (Name of minor)                    (Insert "son", "daughter" or "ward")

who is ___________ years of age, approve and agree to the foregoing.
          (Age)

__________________________________ ____________________________
(Parent/Legal Guardian - Signature) (Witness - Signature)

__________________________________ ____________________________
(Address)                            (Witness- Print Name)

__________________________________