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 RELEASE FORM: MUSIC / COMPOSER TEAM #: PRODUCER NAME: PHONE & EMAIL: I composed and own the copyright to the music and tracks used for this Registered Team’s “Down to the Wire a 24 HR Film Race.” I am the sole and legal copyright to the described work, and hereby agree to the use of this work in the promotion, production and distribution for the purposes of Down to the Wire a 24 HR Film Race. I hereby irrevocably authorize Tallgrass Film Association and CreativeRush to edit, alter, copy, exhibit, publish or distribute the audio, films, videotapes and/or sound records. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph. COMPOSER: ADDRESS / ZIP: PHONE & EMAIL: TRACK NAME(S): ____________________________________________________________________________________ SIGNATURE DATE