SHOWTIME NETWORKS INC.
LIABILITY RELEASE AND PUBLICITY RELEASE (GUEST)
Guest’s Name:
Host’s Name:
Name of contest: Equality Now Auction
Host’s Prize: Walk-on on the Showtime Television Series: “The L Word” (the “Series”)
1. Liability Release. I agree, on behalf of myself and my heirs, executors and administrators, that Showtime Networks Inc., its parent, affiliated and subsidiary companies and each of their respective shareholders, successors, directors, officers, employees and agents, shall not be liable for any injury, loss or damage of any kind resulting from the acceptance or use of the awarded prize.
I acknowledge and understand that Showtime Networks Inc. has not arranged for, nor does it carry, any insurance of any kind for my benefit or that of my heirs, executors or administrators relative to use of the awarded prize and that I am solely responsible for obtaining and paying for any life, travel, accident, property or other insurance relative to use of the awarded prize.
2. Publicity Release. I grant permission to Showtime Networks Inc. to use my name, image, likeness, voice and biographical information about me for advertising, publicity and promotional purposes relating to the Series, Showtime Networks Inc. and/or the contest for which my host was awarded the prize, without additional compensation to me or to my host.
GUEST*: I, _______________________________________, am _______ years of age or older and I understand the above Liability Release and the above Publicity Release.
I reside at: _________________________________________________________________________
(street address)
__________________________________________________________________________________
(city) (state) (zip)
Signature of guest: ___________________________________________________________________
* Guest must be 18 years of age or older, unless a child of the winner, in which case the parent/legal guardian is required to sign below on behalf of the minor.
Parent/Legal Guardian on behalf of Guest (only if Guest is younger than 18 years old):
I, _____________________________________________, am the parent or the legal guardian of the minor referenced above and on behalf of such minor I agree to the above Liability Release and the above Publicity Release. I also agree to hold harmless Showtime Networks Inc., its parent, affiliated and subsidiary companies and each of their respective shareholders, successors, directors, officers, employees and agents, from and against any and all claims that may arise in connection with the above-referenced minor’s participation in the contest for which the prize is being awarded.
Signature: __________________________________________________________________________
(Signature of parent/legal guardian of guest if guest is under 18 years of age)
PLEASE FAX TO:
The L Word Season 6
C/o Nancy Needham
8275 Manitoba St.
Vancouver BC, V5X 4L8
Fax: 604-437-3745