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Prisons to Partnerships
People and Programs Ending Recidivism and Transforming Lives

Prisons to Partnerships

People & Programs Ending Recidivism & Transforming Lives

SPEAKER RELEASE: AGREEMENT AND AUTHORIZATION FOR SPEAKERS TO BE IN MEDIA

THIS SPEAKER RELEASE (the "Agreement") is made and entered into this:

Date / Time

BETWEEN:

Prisons to Partnerships of 12081 W Alameda Pkwy # 200 Lakewood CO 80228 ~ Email: CFO@prisons2partnerships.org Phone: (908) 586-7447 (the "Producer")

OF THE FIRST PART

Speaker Name *

Speaker Address

City, State, ZIP code *

Email Address *

Home Phone Number

+1

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Cell Phone Number *

+1

AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaireBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSabaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint EustatiusSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe

(the "Speaker")

OF THE SECOND PART

BACKGROUND:

1. The Producer may choose or is currently engaged in the business of creating media, which includes but is not limited to engaging in the following activities for personal and commercial gain:

filming, film/video editing, and film/video production; photography, photo editing, and photo production; digital photography, digital photo editing, and digital photo production; documentary production and editing; sound recordings; sound manipulation and musicproductions; television production; and web design and production.

2. The Speaker consents to being a subject of the Producer in media. The Speaker will allow the Producer to capture images and sound recordings for use in media.

WHEREBY:

THE PRODUCER IS RELEASED OF LIABILITY: For good and valuable consideration herein acknowledged as received, the Speaker releases the Producer and assigns permission to license all images and sound recordings and to use of images and sound recordings in any media for any purpose which may include, among others, advertising, promotion, marketing and packaging for any product or service. The Speaker agrees that any images and sound recordings may be combined with other images, text and graphics, cropped, altered and modified.

THE PRODUCER RETAINS ALL RIGHTS: The Speaker agrees that the Producer has all rights to images and sound recordings, for perpetuity unless explicitly noted in this Agreement. The Speaker acknowledges and agrees that the Producer is not liable for any further consideration, accounting, or claim for any reason.

DURATION OF AGREEMENT: The Speaker acknowledges and agrees that this Agreement is binding on all heirs and assigns. The Speaker acknowledges and agrees that this Agreement is irrevocable, worldwide and perpetual.

This Agreement contains the entire agreement between the parties to this release and the terms of this Agreement are contractual and not a mere recital.

This Agreement will be construed in accordance with and governed by the laws of the State of Colorado.

Speakers Name *

Print Name

Signature *

By signing, you confirm your agreement to the terms outlined in this form.

Signature Date

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