The undersigned enters into the following agreement (“Agreement”) with Wood Buffalo Media Group (“Producer”). I have been informed that the Producer is capturing footage and that my name, likeness, image, voice, appearance and/or performance is being recorded and made part of the recording in which I appear (“Product”).


1. I grant the Producer and its designees the right to use the Product in any format, now known or later developed. I grant, without limitation, the right to edit, mix or duplicate and use or re-use Product in whole or in parts as the Producer may elect. The producer or its designees have complete ownership of the Product, including copyright interests.


2. I grant the Producer and its designees the right to broadcast, exhibit, market and otherwise distribute the Product, in whole or in parts, and alone or with other products, for any purpose the Producer or its designees determine. This grant includes the right to use Product for promoting or publicizing.


3. I have the right to enter into an Agreement and am not restricted by commitments to third parties.

  1. Producer has no financial commitment or obligations to me as a result of the Agreement.

  2. In consideration of all the above, I hereby acknowledge receipt of reasonable and fair

consideration from the Producer. I have read, understand and agree to all of the above and that the rights granted Producer herein are perpetual and worldwide:

Trevor Butler

Media / Marketing Specialist

PH: 780-713-5182

Email: info@woodbuffalomediagroup.com

By filling out this form you agree to the conditions above.