PURPLE NOSE PRODUCTIONS

Omertá
MINOR TALENT RELEASE AGREEMENT

For valuable consideration, the sufficiency and receipt of which is hereby acknowledged, I, the
undersigned, agree as follows:
a. I consent to allow Purple Nose Productions the use of my minor child’s name,
voice, image, likeness, and any and all attributes of his/her personality, in, on or in connection
with any film, audio tape, video tape, audio-visual work, photograph, illustration, animation, or
broadcast, in any media or embodiment, now known or unknown, including, without limitation,
all formats of computer readable media, produced by or for the benefit of Purple Nose
Productions. I further consent to the use of my minor child’s name, voice, image, likeness, and
any and all attributes of his/her personality in any advertising or promotional material created or
used in connection with Omertá and each such item of advertising or promotional material will
be considered a "Work" for purposes of this agreement.
b. I irrevocably assign to Purple Nose Productions a) any and all claims of
copyright my minor child may have in and to Omertá, and (b) the exclusive and perpetual right
throughout the world to use, print, produce, publish, copy, display, perform, exhibit, transmit,
broadcast, disseminate, market, advertise, sell, lease, license, transfer, modify, and create
derivative works from Omertá in any media or format, now known or unknown.
c. I agree that Purple Nose Productions will allow me to approve content where
necessary.
d. I hereby release, discharge, and agree to hold harmless Purple Nose
Productions, all persons acting under its authority, and those for whom it is acting, from all
claims, causes of action and liability of any kind, now known or unknown, in law or in equity,
based upon or arising out of Omertá or this agreement including, without limitation, claims of
libel, slander, right of publicity, defamation, trademark infringement, and copyright infringement.
e. I have read the above authorization, release and agreement, prior to its
execution; I fully understand the contents thereof. This agreement will be binding upon my heirs,
successors, representatives, and assigns.
f. I represent and warrant that I am the parent or legal guardian of the below
named minor child. I hereby consent to the foregoing on his/her behalf.

______________________________________
(signature of parent, or legal guardian signature if parent is under 18 years)

Date:

_________________________

Minor Child Name (printed) :_________________________________

Parent / Guardian Name (printed) :____________________________

Address :____________________________________________________________________

Telephone :_____________________________________

Email :________________________________________________________________