Talent Release Photo, video and media permission for ABCT participants One form per participant. ABCT asks every student, camper and Teen Talk TV participant to have a talent release on file before photos or video are shared. Questions? Call (504) 862-PLAY (7529).1. ParticipantParticipant full name(Required)Participant date of birth(Required) ABCT program(s)(Required) Acting classes Summer Camp ABCT Teen Talk TV ABCT production / performance Other ABCT event 2. Person signingI am signing as(Required) Parent or legal guardian of a participant under 18 The participant (age 18 or older) Your full name(Required)Relationship to participantFor example: mother, father, grandmother, legal guardian. Leave blank if you are the participant.Email(Required) Phone(Required)3. Talent releaseI, the undersigned, give the Anthony Bean Community Theater & Acting School (ABCT), a 501(c)(3) nonprofit, permission to photograph, film and record the participant named above during classes, rehearsals, camps, workshops, performances, ABCT Teen Talk TV tapings and other ABCT events.ABCT may use these photographs, videos, voice recordings and the participant’s first name in its programs and to promote its work, including its website, mobile app, social media, printed materials, grant reports, news media and television broadcasts such as ABCT Teen Talk TV on My54-WUPL.I understand that:No payment or compensation will be given for this use.ABCT will not publish the participant’s home address, phone number, school or other private contact information.All photographs and recordings belong to ABCT.This permission lasts until I withdraw it in writing to ABCT. Withdrawing it stops future use, but it does not apply to materials already printed, broadcast or published.I am the participant (age 18 or older), or the parent or legal guardian of the participant, and I have the right to sign this release.Photo and video permission(Required) I give permission (as described above) I do NOT give permission. Please keep the participant out of published photos and video 4. SignatureAgreement(Required)By signing below, I confirm I have read this release and that the information on this form is correct. I have read and agree to this Talent ReleaseSign here(Required)Use your mouse or finger to sign.Your NameYour NameYour NameYour NameDate(Required)