SEVA TALENT & PRODUCER RELEASE FORM
For Student Educational Video Awards Entries, SEVA Studio Labs & SEVA TV.
A form must be completed by each person appearing in the program as well as the producer(s).
All release forms need to be submitted with the SEVA entry before the contest deadline.
I AM: TALENT PRODUCER (Please check all that apply.)
PARTICIPANT NAME: ________________________________________________________
SCHOOL: ________________________________________________________
VIDEO TITLE: ________________________________________________________
STUDENT PRODUCER(S): ________________________________________________________
I assign all rights to the still images, videotape, digital video file and sound recording made of me during this student
produced SEVA (Student Educational Video Awards) production by the above stated school to be shared with the
Sacramento Educational Cable Consortium. The video will be submitted to the SEVA contest held by the Sacramento
Educational Cable Consortium (SECC) and hereby authorize the reproduction, copyright, exhibition, broadcast, cablecast,
webcast, podcast and/or distribution of this video and audio content without limitation for educational programming and
promotional purposes. I understand that there will be no financial or other remuneration for use of my work and/or
recordings, either for initial or subsequent transmission or playback, and I hereby release the Sacramento Educational
Cable Consortium and its partners from any liability resulting from or connected with the publication of such work.
Permission is granted for the duration of the media.
[In addition to the above for Student Producers] I certify that all permits, releases, licenses and national clearances for
the use of any copyrighted material, third party contracts and similar matters necessary to cablecast, broadcast, webcast or
reproduce this video have been obtained. I indemnify and hold harmless SECC and all its staff against any and all claims
resulting from public display of my entry. I grant permission to have my video or portions of it be reproduced by SECC for
educational programming purposes or one of its partners for educational and/or promotional use. I hereby guarantee that I
am the owner of this work and have authority to grant permission for the above. SECC may interview student producers
about their video. I assign all rights to the still images, video and sound recording made of me by the Sacramento
Educational Cable Consortium (SECC) and hereby authorize the reproduction, copyright, exhibition, broadcast, cablecast,
webcast, podcast and/or distribution of this video and audio content and photos without limitation for educational
programming and promotional purposes. If participating via Zoom, you’re confirming permission to be recorded via Zoom
from a location of your choosing within your home.
Signature: ______________________________________________ Date: ____________________
(If under 18, a parent signature is required.)
Phone or Email: ______________________________________________
SACRAMENTO EDUCATIONAL CABLE CONSORTIUM
4630 Northgate Blvd – Suite 160 - Sacramento, CA 95834 | (916) 920-1006 | www.secctv.org
