I, the undersigned, understand that an audio/video recording/still photograph(s) in which I appear or am heard, either alone or in conjunction with others, may be used by NoCo Media, Ltd. (hereinafter referred to as “NoCo FM”) in an audio or video program, in print, in web streaming audio or video and/or other electronic media for instructional, educational, informational, promotional, or other entertainment or merchandising purposes. I hereby consent to such use of this recording and/or still photograph(s), created on the below date.

In consideration of the use of my likeness or voice in an audio or video recording/still photograph(s), film, broadcast, cablecast, and/or web cast program, and/or other electronic media, and for other good and valuable consideration, the receipt of which is acknowledged, I and my agents, representatives, successors and assigns hereby release and forever discharge NoCo FM, its agents, representatives, employees, successors, crew and assigns from any and all claims, demands, damages, actions, causes of action, suits in equity, and liabilities of any kind whatsoever, known or unknown, directly or indirectly attributable to the use of the recording/still photograph(s) in which I appear or am heard. I understand and agree that any audio/videotape, film, television program, printed material, and/or other electronic media in which I appear or am heard that is created or produced by NoCo FM or its representatives, employees, crew or students shall be and remain the sole property of NoCo FM.

I waive any payment that might otherwise be due from NoCo FM for such use, including mechanical license rights. This shall not affect any royalties paid to me by a performance rights licensing agency. I confirm that I have the right to enter this agreement and that by signing I am not restricted by any other agreements.