1) I, the undersigned, hereby authorize the Town of Concord and its affiliates to photograph me, take motion pictures of me, take video footage of me, and/or make electronic sound recordings of me (herein referred to as photographic or electronic reproductions). The Town of Concord owns the rights to the photographic or electronic reproductions made of me by the Town. 2) I authorize the use of any such photographic or electronic reproductions of me for any purpose, including, but not limited to educational and other public media as may be deemed appropriate by the Town of Concord and its affiliates (I understand that I may be identifiable from such photographic or electronic reproduction) now and in the future. I certify that I am at least eighteen years of age and am competent to contract in my own name. I have read this release before signing it and fully understand that signing allows the Town of Concord and its affiliates to use my image (photographs and/or video) as they see fit.

All programs submitted must meet technical requirements for audio and video. Programs not meeting these requirements will not be shown on Minuteman Media Network. Programs submitted by producers under age 18 must have the signature of a parent or legal guardian on this form. I, the undersigned, warrant and represent to MMN that the above program meets the criteria for access programming and that the above material submitted by me contains none of the following: 1. Any material which is obscene, libelous, slanderous, or is otherwise illegal, 2. Any lottery information or material which is intended to defraud the viewer, 3. Any material that is commercial in nature, 4. Any invasion of privacy, 5. Any violation of copyrights, trademarks, or publicity rights which might violate federal, state, or local laws. These warranties and representations are made by me in order that this program be cablecast on MMN operated access channels. I agree to indemnify and hold harmless MMN, and/or the Town of Concord, their employees, officers, etc., from any and all claims, demands, damages and/or other liabilities which may be made against or arise Minute Man Media Network Television Program Submission www.minuteman.media out of the cablecasting and/or content of the program submitted. Further, I agree to pay Minuteman Media Network, and/or the Town of Concord all legal fees and expenses incurred for the program in connection with any legal proceedings concerning cablecast and/or content of said program. If a program is produced by a member who is under the age of 18, that member’s parent or legal guardian is responsible for the program’s content and this hold harmless agreement applies.