Consent to Release
Contract and Personal Release to:
Cirque Lodge, Inc.
777 N Palisade Drive
Orem, Utah 84097
I hereby grant to Cirque Lodge, Inc. and all persons acting through and for them the right to film, photograph, video tape, record, and otherwise use visually and aurally my image, voice, and name, in any manner forever, for promotion, advertising, sales, training, films, music videos, and any other use, in whole or in part, in any and all media, broadcast via the internet, television, motion picture, videotape, DVD, CD, Blu-Ray, or any other media now in use or developed in the future, and waive all rights in connection with such use. I certify that I am over 18 years of age.
On this Date:
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Document Name: Consent to Release
Agree & Sign