NBC Connecticut (WVIT-HD)

1422 New Britain Avenue

West Hartford, CT 06110

Ladies/Gentlemen:

You have told me that you are producing a television event about the New Haven Tree Lighting (the “Program”) for which you are running a contest that invites viewers to submit videos of a choir performing holiday songs. These videos may be available online for voting purposes and one choir will be invited to perform live on the Program. The videos and the performance may be used in connection with development and production of the Program, and advertisements and promotions for the Program and NBC Connecticut (the “Advertisements”), in all media, including, but not limited to, broadcast and digital television, websites and social media platforms.

In consideration of my and my child’s desire for my child to participate in the contest and potentially appear on television, I hereby irrevocably give you permission to videotape my child and/or accept submission of a videotape and to use the videotapes, my child’s likeness, and my child’s name and information about him/her (“the Material”) for the Program and the Advertisements. I understand that the videotape may be edited and that you may decide not to include my child in the Program or even to produce it.

I understand that I am giving NBCUniversal Media LLC (“NBCUniversal”) royalty-free, and irrevocable rights for exploitation and distribution of the Material, in any and all media now known or hereafter devised, by NBCUniversal, and its current and future parent, subsidiary, and related companies and their current and future affiliates, partners, licensees, successors, and assigns throughout the world in perpetuity.

On behalf of my child and me, I hereby release NBCUniversal, its current and future parent, subsidiary and affiliated companies, licensees and assignees and the current and future officers, agents, employees and directors of each (collectively “Released Parties”) from and waive all claims resulting from my child’s participation in the above-described program and use of the Material, even if the loss or injury is caused by the negligence or other wrongful conduct of any of the Released Parties.

I will not make any commercial or any other use of the fact that my child appeared in the program. I agree that I will keep information about the program confidential. I am over eighteen years of age. I gave nothing of value to any NBCUniversal employee for my child to be included in the program.

This agreement shall be governed by the laws of the State of New York. Any litigation arising out of or relating to this agreement and/or the program shall be resolved exclusively in a state or federal court located in New York County, State of New York. I acknowledge that I will not be entitled to injunctive relief.

This is the complete and binding agreement between NBCUniversal and me, and it supersedes all prior understandings and/or communications, both oral and written, with respect to its subject matter. I have entered into this agreement without reliance on any prior statements or representations. This agreement cannot be terminated, rescinded or amended, except by a written agreement signed by both NBCUniversal and me.

Very truly yours,

______

Signature

______

______Address

Date

______

______Name of Minor Child

Name (Printed)

______

Date of Birth of Minor Child