This release form is also available as a Microsoft Word 6.0 and a Rich Text Format (RTF) file.

Program Guests and Studio Audience Release Form

1. I hereby consent to the use and reuse forever of my name, my voice, my picture, materials I supply, and/or my statements by the personnel of Ridgewood High School for cable casting, direct exhibition, Internet, and subsidiary purposes in any known or unknown media source or retrieval system.
2. You may edit my appearance as you see fit, and I understand that you have no obligation to use my appearance.
3. You agree not to use my name or picture so as to amount to a direct endorsement by me of any product or service.
4. I REPRESENT THAT ANY AND ALL STATEMENTS I MAKE ON AND/OR OFF THE AIR ARE TRUE. I REPRESENT THAT I OWN ALL MATERIALS I BRING ON THE SHOW AND GRANT YOU PERMISSION TO USE THEM IN ACCORDANCE WITH PARAGRAPH 2.
5. I HEREBY INDEMNIFY YOU, your officers, directors, licensees, agents, and all other staff against any claims against you arising out of materials I supply, and acts or statements I make on or off the air. I HEREBY RELEASE YOU from any loss or claims arising out of my appearance and participation in the program and/or its permitted uses.
6. As a member of the studio audience, I acknowledge that Ridgewood High School has the absolute right to refuse me admittance to the program or ask me to leave the studio at any time for any reason, at its sole discretion.
7. I have carefully read this RELEASE and indicate my understanding and consent by signing below.

For Individuals Under 18 Years Of Age

I have carefully read this RELEASE and indicate my understanding and consent by signing below.

Parent Signature:	Date:
Parent Name (Please print):	Parent Telephone: