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"Ripley's Believe It or Not!"
Submission Release Form Instructions:
Please print out and complete this form (if there is more then one
person appearing in your photographs(s) or video, or more than one person
contributed to your written submission, each person must complete a
separate Submission Release Form). After you've completed the top half of
this form, read the Terms and Conditions below and sign at the bottom
where indicated. Then, mail this completed Submission Release Form, along
with your photograph(s) and/or VHS videotape (up to 5 minutes in length),
or your written materials to:
"Ripley's Believe It or Not!" - Be A Guest!
P.O. Box 360465
Los Angeles, CA. 90036
Photographs, videos and written
submissions will not be returned (see Terms and Conditions
below)
_______________________________________________________________
Name
_______________________________________________________________
Home Address
_______________________________________________________________
Employer / Work Address
_______________________________________________________________
Telephone #
_______________________________________________________________
Email Address
Description of the appearance on the videotape, photograph or writing
being submitted:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Terms and Conditions
Please read carefully
I am hereby submitting to Woodridge Productions,
Inc. ("Producer"), a VHS videotape and/or photographs(s) or written
materials which contains my appearance or my writing, as described above
("Material") and in consideration of the opportunity to be considered for
a possible segment for the television series "Ripley's Believe It Or Not!"
(the "Series") and for other good and valuable consideration, I hereby
agree as follows:
I understand that Producer, as a matter of
company policy, will refuse to accept, consider or otherwise evaluate the
Material unless this Submission Release Form is signed and returned with
the Material. I also understand that no confidential relationship is
established between Producer and me by my submission of the Material to
Producer hereunder. I hereby request and give permission to Producer to
evaluate my appearance and/or written materials contained in the Material
in connection with the Series. I further agree that no obligation of any
kind is assumed or may be implied against Producer by reason of Producer's
evaluation of the Material, and that Producer is not obligated to use the
Materials or any of the rights granted in this Submission Release Form,
including, without limitation, the right to broadcast (in any media) my
appearance or the written portions contributed by me encompassed in the
Material ("Appearance"). I have retained at least one copy of the Material
and acknowledge that Producer will not return the Material and shall not
be responsible, financially or otherwise, for any loss or damage or
destruction or other failure to return the Material.
I represent
and warrant that all statements, remarks, personal identifying details and
facts and all other information of any kind or nature contained in my
Appearance or in the Material, are true, correct, and accurate and
further, that I have not omitted or withheld information in connection
with my submission of the Material for the purposes of misleading anyone
or misrepresenting any facts or circumstances being presented on the
Material. I further represent and warrant that I am the sole owner (except
in the case of a duo performance or co-writings, in which I and my
co-performer or co-writer are the sole owners) of the Material, that I
have the exclusive right and authority to submit the Material to Producer
upon the terms and conditions stated herein and that all of the elements
of the Material are accurately described above. I agree to indemnify,
defend and hold Producer harmless for any liabilities, losses, claims,
demands, costs (including reasonable attorneys' fees), or expenses arising
in connection with any breach or alleged breach of the foregoing. For the
purposes of this Submission Release Form, the term "Producer" shall be
deemed to include any and all subsidiary, affiliated and related entities
and each of their respective employees, officers, directors, agents,
representatives, licensees and assigns.
I irrevocably grant to
Producer and its successors, assigns and licensees, all right, title and
interest in and to my Appearance and the Material, including the copyright
therein; the right to use my Appearance and any and all information,
including biographical information and/or other materials I have supplied,
as well as other information Producer may have received from other
sources, in connection with the Series; to re-record my Appearance in any
medium, now known or hereafter devised; to edit my Appearance in any
manner in Producer's sole discretion; and to distribute, exhibit and
exploit my Appearance on the Internet and in any and all media, by any
method now known or hereafter devised, throughout the universe in
perpetuity, including for advertising, promotion and merchandising of the
Series.
I will not institute or support any claims or actions
against Producer arising out of the use of my Appearance and I hereby
release Producer from and against any and all claims, demands and causes
of action of every kind which I may have now or in the future based upon
or arising from my Appearance or my participation in the Series, or any
exercise by Producer of its rights as conveyed in this Submission Release
Form, including but not limited to any claims for defamation, violation of
rights of privacy and/or publicity, intentional infliction of emotional
distress, copyright infringement, and/or any other tort in connection
therewith. I also recognize that Producer may have access to and/or may
create or have created concepts, ideas or material which may be similar or
identical to my Appearance in any and all respects. I agree that I will
not be entitled to any compensation or credit because of the use of any
such similar or identical concepts, ideas or material which may have been
independently created by Producer or may have been received by Producer
from any other independent source and further, I shall not have the right
to seek an injunction or other equitable relief against Producer as a
result thereof.
I agree that if my Material is selected as one of
the segments for the Series and/or is posted on the "Ripley's Believe It
Or Not" Web site, I will not use that fact in connection with any
publicity, promotion or commercial advertising not undertaken by or under
the control of Producer, except as pre-approved in writing by Producer. As
of this date, I am not a candidate for any elected federal office and I
will not be a candidate for any elected public office during the 2003/2004
production season.
The Terms and Conditions of this Submission
Release Form shall be construed and interpreted pursuant to the laws of
the State of California applicable to agreements entered into and fully
performed in California. All disputes arising hereunder shall be resolved
in a court of competent jurisdiction located in Los Angeles, California
and the parties consent to the jurisdiction of such courts and agree to
accept service of process by first class United States mail. The
prevailing party in any such dispute shall be entitled to recover
reasonable attorneys' fees. Any controversy, dispute or claim under,
arising out of, in connection with or relating to this Agreement,
including, but not limited to the negotiation, execution, interpretation,
construction, coverage, scope, performance, breach, termination, validity
or enforceability of this Agreement, shall be settled, at the request of
either party, by reference to a judge in accordance with the procedures of
§638 et seq. of the California Code of Civil Procedure, sitting without a
jury.
I hereby
acknowledge that I have read and understand the terms and conditions of
this Submission Release Form and that no oral representations of any kind
have been made to me, and that this Submission Release Form states our
entire understanding with reference to the subject matter hereof. Any
modification or waiver of any of the provisions of this Submission Release
Form must be in writing and signed by both parties. I represent and
warrant that I have the full right, power and authority to grant the
rights herein. I understand that Producer is making substantial
expenditures in reliance upon this Submission Release Form and that I may
not revoke the rights I have granted herein. I hereby certify that I fully
understand the meaning and effect of this Submission Release Form and that
I intend to be legally bound hereby.
I
represent and warrant that I am 18 years of age or older; if I am
under the age of 18, my parent/legal guardian has
approved the terms of this agreement where indicated
below.
I hereby agree to and confirm the terms of this agreement
on behalf of my child or ward, and I represent and
warrant that I am legally authorized to do
so.
Accepted and Agreed:
___________________________
___________________________
Signature
Signature of Parent/Guardian
___________________________
Social
Security #
___________________________
Date
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