Short Form Relesae

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					RELEASE I irrevocably hereby consent to the recording, use, exhibition, distribution, exploitation and reuse by Life Balance Media, LLC, and any of its exhibition licensees and assigns and each of their respective employees, officers, directors, agents, parents, subsidiaries, and related companies (collectively, “Licensed Parties”) in any and all media, whether now known or hereafter devised, worldwide, in perpetuity, of my voice, actions, likeness (actual or simulated), name, sobriquet, appearance and biographical information (i.e., collectively “likeness”) in and in connection with the production, exhibition, distribution and exploitation of a program and/or series of television programs tentatively entitled “Yogabytes” (the “Program”). I agree that Licensed Parties may use all or any part of my likeness, and may alter or modify it, regardless of whether or not I am recognizable. I further agree that Licensed Parties may use my likeness and/or name in connection with any marketing, promotion, publicity, advertisement, merchandising for the Program or its sponsor and Network and all other commercial and non-commercial purposes. I release, indemnify, discharge and hold harmless Licensed Parties from liability arising out of its use of my likeness and/or name. I agree not to make any claim against Licensed Parties (or its employees, officers, agents and directors) as a result of the recording or use of my likeness (including, without limitation, any claim that such use invades any right of privacy and/or publicity or similar rights) or arising in any way out of my participation in the Program. I shall keep all information relating to the Program and my participation therein confidential in all respects. I hereby indemnify, discharge and hold harmless the Licensed Parties from any and all claims and liability (including attorneys fees) arising from any breach by me of this Release. I understand that Licensed Parties are recording my likeness in reliance on this Release and that it is irrevocable. I acknowledge that Licensed Parties have no obligation to use my likeness. I acknowledge that there is a possibility that subsequent to the execution of this release, I will discover facts or incur or suffer claims which were unknown or unsuspected at the time this release was executed, and which if known by me at that time may have materially affected my decision to execute this release. I acknowledge and agree that by reason of this release, I am assuming any risk of the existence of such unknown facts and such unknown and unsuspected claims. It is intended, understood and agreed that the release set forth herein constitutes release by me of all claims, whether known or unknown, regarding or relating to the Program. I hereby represent that we have been advised by our legal counsel (or, in the alternative, have had the opportunity to be advised by our legal counsel, and have chosen not to consult such counsel), understand and acknowledge the significance and consequence of this release and of this specific waiver. This Release shall be deemed to be entered into in New York, New York, and shall be governed by and interpreted in accordance with the laws of the State of New York applicable to agreements entered into and carried out entirely within New York. I agree that any and all disputes or controversies arising under this Release or any of its terms,

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any effort by any party to enforce, interpret, construe, rescind, terminate or annul this Release, or any provision thereof, shall be resolved exclusively by binding arbitration before a single, neutral arbitrator, who shall be a retired judge of a state or federal court. All arbitration proceedings shall be conducted under the auspices of the American Arbitration Association, under its Commercial Arbitration Rules, through its New York, New York office. I agree that the arbitration proceedings, testimony, discovery and documents filed in the course of such proceedings, including the fact that the arbitration is being conducted, will be treated as confidential and will not be disclosed to any third party to such proceedings, except the arbitrator(s) and their staff, the parties’ attorneys and their staff, and any experts retained by the parties. Subject to the arbitration provision set forth above, I agree that my remedies for any breach of this Release by Licensed Parties or others will be limited to actual damages, if any, and in no event will I be entitled to rescind this Agreement or to seek injunctive or any other equitable relief. Any waiver of any term of this Release in a particular instance shall not be a waiver of such term for the future. I agree that the invalidity or enforceability of any part of this Release shall in no way affect the validity or enforceability of any of the remainder of this Release. I understand that this Release is not intended to, and does not, negate, undermine or denigrate in any way any written representations or warranties or releases that I may have previously or otherwise made to Licensed Parties, or any of them. I agree to execute any and all further documentation or agreements as requested by Producer in connection with my participation in the Program. I have signed this Release and consent on the 2005. day of ,

_______________________________ _______________________________ _______________________________ Address

______________________________ Signature

_______________________________ Name (Please Print or Type)

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posted:6/26/2009
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