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					           Ace Appliance Talent Release Form for Minor:


                     Ace Appliance Jingle Contest 2011
  I consent to the reproduction of my child’s voice and/or pictures as recorded
    and/or photographed by Ace Appliance Inc. in conjunction with the above
                               described activity.

 I acknowledge you are the sole owner of all rights in and to the recordings you
 have obtained in the activity described above for all purposes including but not
     restricted to commercial and/or editorial, and that you have the right to
 broadcast, publish or otherwise distribute this material, or any portion thereof
                                one or more times.

I understand that I will receive no compensation for my child’s appearance on and
 participation in the recordings made by or recordings broadcast by Ace Appliance
                               Inc. during this activity.

 I represent that I am 18years of age or older, the parent or legal guardian of the
child whose name is listed below, and have the right to enter into this agreement.



Child’s Name: ______________________________

Parent/Legal guardian’s signature: ___________________

Print Legal Guardian’s Name_________________________

Address __________________________________

         _________________________________

Phone: ______________________________

Date: _______________________________

				
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posted:9/8/2012
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