Performer's Release Form
NOTE: To all entertainers: Celebrity Impersonators please fill out section #1. Live Bands please fill out section #2.
The signing of this form, allows Paul Jones Entertainment
to use any or all Video, Photos, Audio Footage for the Entertainer listed below and releases
Paul Jones Entertainment from any liability therefore resulted.
SECTION 1
IMPERSONATORS:
Entertainers Name_______________________________
I am Impersonating______________________________
Mailing Address_________________________________
City____________________ State______Zip_________
Phone___________________________________________
Email___________________________________________
What is your minimum charge per night? $________
________________________
Entertainers Signature
________________
Date Signed
SECTION 2
LIVE BANDS:
Name of Band_______________________________
Band Leader______________________________
Mailing Address_________________________________
City____________________ State______Zip_________
Phone___________________________________________
Email___________________________________________
What is your minimum charge per night? $________
For what kind of act? (Circle One) Single, Duo, Full Band
If full band, How many pieces? _____________
________________________
Band Leader Signature
________________
Date Signed
Please print this form out and fax back to:
Phone: (831) 475-7350
ATTENTION!!You must send your COMPLETE promo pack by US Mail to:
Attention A&R Dept.
Paul Jones Entertainment
P.O. Box 2579
Santa Cruz, CA 95063
(831) 212-1904
Cellular
(c) Copyright 2007
All rights reserved.
If full band, How many pieces? _____________
________________________
Band Leader Signature
________________
Date Signed
Please print this form out and fax back to:
Phone: (831) 475-7350
ATTENTION!!You must send your COMPLETE promo pack by US Mail to:
Attention A&R Dept.
Paul Jones Entertainment
P.O. Box 2579
Santa Cruz, CA 95063
(831) 212-1904
Cellular
(c) Copyright 2007
All rights reserved.
Band Leader Signature
Date Signed