Digital Talent Release Form

I hereby assign to Brookline Cable Community Trust, Inc. (operating as: Brookline Access Television) all rights to the recording and/or taping of my appearance by means of the videotape and audio record made on this date, and I hereby further authorize the reproduction, copyright, sales, exhibition, cablecast, webcast and/or distribution of said videotape by Brookline Cable Community Trust, Inc. or its agent(s) or assignee(s) without limitation.

Your Home Address. If you are not 18, the address of your legal guardian.

By Typing your name here, you accept the terms. If under 18, this shall be signed by the legal guadian