Muse Paid Performer Agreement

Name *

First

Last

Email *

Phone *

Permanent Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Mailing Address

Same as above

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

I have read the contract provided to me and agree with the terms therein. *

Yes
No

Signed Contract and W9 *

Click or drag a file to this area to upload.

Please upload your signed contract and completed W9. For a fillable PDF, go here: https://www.irs.gov/pub/irs-pdf/fw9.pdf

Waiver: I consent to have my reading/event video recorded and live-streamed on the Muse's website and social media channels. I understand that this footage will be available on the Muse's website in both live and archived formats. I consent to the publication of footage, in whole or in part, without restriction or limitation, after broadcast for any use. I consent to the use of my name, likeness, voice, and biographical material in connection with the program publicly and for institutional promotional purposes. I waive the right to inspect or approve any such use of my name, likeness, voice, or biographical material. I expressly release The Muse Writers Center and its employees, licensees, and assignees from any and all claims, including copyright, privacy, and defamation arising out of any broadcast, exhibition, publication, or promotion of this material. I understand that The Muse Writers Center may take photographs and/or video/audio recordings of this event/reading. I understand these photos and/or video clips may be used by The Muse Writers Center for future marketing purposes. I give permission to record the reading. This release may not be revoked for materials previously recorded and applies to all materials recorded as of the date of this release. Any revocation of this release must be in writing and delivered to the Executive Director of The Muse. I understand that the full recorded event might be posted publicly on YouTube, The Muse Writers Center website, or another public forum. *

Your Name

Signature *

READY TO WRITE?