Music Release Form

Music Release Form
Talent Name

First NameLast Name
Contact Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Project Title
Producer
Production Date

MonthDayYear
I {talentName} have hereby participated as indicated in the above-identified program, which I give permission that all the material may be used and distributed without limitation through radio promotion on Urban 95 Soul and that I shall receive no monetary compensation for my participation. I agree that my participation gives no right of ownership, use or copyright to Urban 95 Soul. I release Urban 95 Soul from all liability for any claims by myself or any other third party in connection with my participation.
I am older than 18 and have legal independence.

YesNo
Date

MonthDayYear
Talent Signature

Clear
Urban95Soul Rep. Signature

Clear
Should be Empty: