Video Registration & Appearance Release Forms
Dance teams submitting videos for the Treasure Coast Blues Festival Shuffle Boogie Dance Extravaganza Project may complete the online form below or download a hard copy for use in their dance video productions. Download Video Registration Form to Submit a Video . This form has to be mailed in to Hannaian Entertainment, P.O. Box 588, Indiantown, Florida , U.S.A. 34956.

Dance Video Producers may also download an Appearance Release Form here. Download Appearance Release Form to get a general release from dancers. Releases are usually not needed for large publicly recorded group productions where the subjects are not closely focused on.

SBS Video Submission Instructions - DeAara Lewis Productions

1. Send dance video as a QuickTime file via <> . This is the quickest and easiest way to receive the footage. YouSendIt is a free service as long as the footage does not exceed amount of space. Participants can create a Zip File and then send the video via to ensure it will fit.

2. Physically Mail a DVD to 1616 Kendale, Memphis , TN 38106 .

3. Upload it to YouTube and send me the url.

4. Deadline - October 15, 2010 (I need to receive the DVD by October 15th, not postmarked) to be included in the first worldwide broadcast on Saturday, November 6, 2010. All videos received after October 15th and even after the November 6th broadcast will be added to the FINAL Video Edit for Worldwide broadcast on Youtube and the final broadcast around the world.

Stage & Featured Performers

All performers, musicians, and dancers who will be on stage must complete the
Online Stage Appearance Release Form or download and either mail in or bring in the hard copy Stage Release Form. Click Here For Online Stage Appearance Release Form, Download hard Copy Stage Release Form.

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I confirm that the video production described above which I am submitting to the Hannaian Entertainment Company is fully and wholly owned by me and that I hereby grant to the Hannaian Entertainment company the right to use the video, audio, images and voices for the purpose of screenings, festivals, broadcast, media education workshops, program promotion and inclusion and distribution of the video and audio productions associated with the project. It is also understood that any such materials (video, film, audio, and any other media) will be used with the highest integrity and discretion, with the intent to communicate responsibly and ethically, the subject matter contained therein.

I hereby consent for value received and without further consideration or compensation to the use (full or in part) of all videotapes taken of me and/or recordings made of my voice and/or written extraction, in whole or in part, of such recordings or musical performance for the purposes of illustration, broadcast, or distribution in any manner. I understand that I will not be able to inspect and/or approve the finished product or products or the editorial, advertising, or printed copy or soundtrack that may be used in the project and in connection therewith.

I hereby release, discharge and agree to save Hannaian Entertainment, their licensees, successors, legal representatives and assigns from any liability by virtue of any blurring, distortion, alteration, optical illusion or use in composite form whether intentional or otherwise that may occur or be produced in the making, processing, duplication, projecting or displaying of said picture or images, and from liability for violation of any personal or proprietary right that I may have in conjunction with said pictures or images and with the use thereof.

Registration Category

Date this form is being filed (e.g., January 1, 1998)

** (required)

Full name of person submitting this Registration (e.g John A. Smith)


Business or Company name if any:

Registrant's First Name:


Registrant' Last Name:


Middle Initial:

Email Address:


Internet Website Address

Street Address:


Additional Address:




Zip/Mailing Code (use12345 If no mail code):



Home Telephone #:

( )

Business Telephone #:

( )

Fax Number:

( )


Male Female


When & where was the Video made:

Describe details of your Video:

Please type in your name & position submitting your signature in agreement with the provisons of this Video Registration & Release.
Thank You

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