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As the undersigned, I acknowledge that BOMM Solutions LLC, All IN Music & Media, associated
agents, officers, and representatives, Company are making a creative work “MY MAMA JOE”
referred forward as Project. My signature below authorizes use of my appearance in Project, which
includes photography, filming, audio, likeness and any performance of music, dance or art
connected to my appearance, Materials. I waive any right of inspection or approval of Materials,
and understand that Company is sole owner of Materials and Project with exclusive rights to
broadcast and license worldwide, subject to compensation, risk and reward. There is no
expectation (expressed or implied) of compensation, royalty, residual or otherwise for my
appearance and participation in Project.


I acknowledge that Company has irrevocable right and permission to use Materials, audio,
photographs and/or video recordings of me on Project and beyond, including websites, social
media platforms, cinema, publications, promotional flyers, educational materials, derivative
works, marketing, branding or for any other similar purpose without compensation to me in
perpetuity. I acknowledge that I am a willing and voluntary participant in Project, and any
statements that I will make are truthful and factual as I know the truth and facts to be.
I also waive, release, acquit and forever discharge BOMM Solutions LLC, All IN Music & Media,
Company, its clients, owners, insurer, contractors, current and former trustees, agents, officers,
employees and associated parties of the above-named entities from any and all claims, demands,
rights, promises, damages and liabilities arising out of or in connection with the use or distribution
of said audio, photographs and/or video recordings, including but not limited to any claims for
invasion of privacy, appropriation of likeness or defamation.

Company pledges to distribute all media for the purpose intended, and never knowingly
misrepresent, embarrass, defame an individual or entity associated with Project.

Appearance Release Form

Thanks for submitting!

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