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Happenstance Casting Application

Personal Information:

First Name:

Middle Name:

Last Name:

Date of Birth:

Email:

Home Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Work Phone:

Occupation:

Job Title:

Gender:

Relationship Status:

Do You Have Children? Yes No

Highest Degree of Education:

Name of Last School/University:

Have You Ever Applied/Appeared on a TV Show or Any Other Type of Entertainment Program? Yes No

If Yes, What Shows/Programs?

How Did You Hear About Happenstance?

Do You Have a Personal Website? Yes No

If Yes, Enter Your Website Address:

Upload a 3 Minute Video About Yourself and Why You Are Applying to be on Happenstance

Upload a Current Photo of Yourself

Take This Time to Tell Us About Yourself, and Why You Feel That "It's About Time That Life Gives You a Do Over..." For this Season or any Upcoming Season on Our Reality Show, Happenstance...

 


ACKNOWLEDGEMENTS AND AUTHORIZATIONS:

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A. (i) I have completed this application honestly and accurately; (ii) if any of the information in this application is found to be false or incomplete, this will be grounds for dismissal from the Happenstance program (the "Program") participant selection process, and/or from the Program contest (if any), if selected; (iii) Happenstance, LLC ("Happenstance") has no obligation to further contact me, to interview me, and/or select me as a participant; (iv) even if I am selected as a participant, Happenstance has no obligation to conduct the Program contest (if any) or produce and/or exhibit the Program; (v) I agree to keep strictly confidential all information about the Program that I may acquire during the participant selection process and/or during my participation in the Program (if applicable); (vi) all decisions by Happenstance concerning selection of the participants are final and not subject to challenge or appeal; and (vii) Happenstance has no obligation to return any materials submitted by me as part of the application whether or not I am selected as a participant.

B. If I am selected as a potential participant, I agree that I must execute further waivers and release agreements required by Happenstance and any of its licensees, successors or assigns.

C. I hereby consent to the recording, use and reuse by Happenstance and the Released Parties (as defined below) of my voice, actions, likeness, name, appearance, biographical material, and any information contained in, derived from or obtained in connection with my application to be a participant in the Program or in any materials submitted by me in connection with my application (collectively "Likeness"), as edited, altered, or modified by Happenstance or by any of the other Released Parties, in any and all media now known or hereafter devised, worldwide in perpetuity, in or in connection with the Program or any other work. I agree that the Released Parties or any of them may use all or any part of my Likeness, and may alter or modify it regardless of whether or not I am recognizable. I further agree that the Released Parties exclusively own all right, title, and interest (including, without limitation, all copyrights) in and to any and all recordings made by them and in and to any and all video that I have provided in connection with my application and any other materials that I have provided or may provide in connection with my application or the Program (collectively, the "Materials"), including, without limitation, the right to edit, alter or modify the Materials and to use all or part of the Materials and my Likeness in any and all media now known or hereafter devised worldwide, in perpetuity. I further agree that Released Parties may use my Likeness and the Materials in connection with any promotion, publicity, marketing or advertisement. I grant the rights hereunder whether or not I am selected to participate in the Program in any manner whatsoever. I understand that I will not be paid any money for giving Released Parties these rights or for signing this application.

D. I hereby authorize Happenstance and any person or entity designated by Happenstance to investigate, access and collect information about me, about any of the statements made by me in this application, any supporting documents and any other documents that I have signed or provided or do sign or provide in connection with my application to be selected as a participant in the Program, or any other written or oral statements I make in connection therewith, to the maximum extent permitted by law. Without limiting the foregoing, I irrevocably authorize Happenstance and any person or entity designated by Happenstance to secure information about me and my experiences from my current and former employers, associates, friends, family members, educational institutions, government agencies, any branch of the military, and any references I have provided, and I irrevocably authorize such parties to provide information concerning me. I hereby unconditionally and irrevocably release and forever discharge Happenstance and the Released Parties from any and all claims, actions, damages and liabilities arising out of or in connection with any such investigation. To the maximum extent permitted by law, I specifically authorize Happenstance and any person or entity designated by Happenstance, in Happenstance's sole discretion, to conduct background investigations of me, my employment records, and government records, including, but not limited to, my motor vehicle records, criminal records, military records and consumer report(s). I further authorize the individuals conducting such investigations of me to disclose to Happenstance and to Happenstance's representatives all information about me obtained in connection with such investigations. I acknowledge, agree and authorize that any such information obtained by Happenstance or by any person or entity designated by Happenstance pursuant to this paragraph or otherwise may be used for purposes of selecting participants in the Program or in the course of producing the Program, and may be described or otherwise related in and in connection with the Program, in and in connection with another program, and in and in connection with any advertising, promotion or publicity for the Program or other program, to the maximum extent permitted by law.

E. The term "Released Parties" shall mean and refer to Happenstance, any licensees or assignees of the Program or the Materials, the other participants in the Program, all other persons and entities connected with the Program, all parent, subsidiary, related and affiliated entities, licensees, successors, assigns, sponsors and advertisers of each of the foregoing, all of the respective directors, officers, principals, executives, on-air talent, employees, agents, contractors, partners, shareholders, representatives and members of each of the foregoing, and the respective heirs, next of kin, spouses, guardians, representatives, executors, administrators, successors, licensees and assigns of each of the foregoing.

CONFIDENTIALITY:

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Whether or not I am selected to be a participant on the Program, I shall keep in strictest confidence and shall not, and shall not authorize or cause others to, directly or indirectly, use or disclose to any third party at any time (i.e., prior to, during, or after the taping or exhibition of any segment of the Program) any of the following, which is the exclusive property of Happenstance: any information or materials that I may read, hear or otherwise acquire or learn in connection with or as a result of my participation in or in connection with the Program, including without limitation, any information or materials concerning or relating to Happenstance or the business of Happenstance, any program produced or exhibited by Happenstance, including, without limitation, any information concerning or relating to the Program, the Program applicants, the Program participants, THE LOCATION(S) OF THE PROGRAM, the events contained in the Program, the outcome of any episode of the Program, and the contents of this application or any other agreement or document that I sign, have signed or receive from Happenstance at any time (collectively, the "Confidential Information"). I acknowledge and agree that my obligations with respect to confidentiality set forth in this application shall continue in perpetuity or until terminated by Happenstance by giving me written notice of termination. In no event will I have the right to terminate my confidentiality obligations under this application. I acknowledge that in the event I breach the confidentiality or any other provisions of this application, my breach may, in the sole discretion of Happenstance result in my being disqualified to participate as a participant in the Program. I further acknowledge that a breach by me of any of the confidentiality provisions of this application would cause Happenstance irreparable injury and damage that cannot be reasonably or adequately compensated by damages in an action at law, and, therefore, I hereby expressly agree that Happenstance shall be entitled to injunctive and other equitable relief to prevent and cure any breach or threatened breach of any of the confidentiality provisions of this application by me.

RELEASE, AGREEMENT NOT TO SUE, GOVERNING LAW AND DISPUTE RESOLUTION:
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To the maximum extent permitted by law, I irrevocably and unconditionally release each of the Released Parties (as defined below) from any and all liability arising out of my participation in or in connection with the Program, including, without limitation, the recording of my Likeness and the Materials, my participation in the participant selection process of the Program, and any exploitation of the Program, my Likeness or the Materials, on any legal theory whatsoever (including, without limitation, personal injury, rights of privacy and publicity, false light and defamation) (the "Released Claims"). Further, to the maximum extent permitted by law, I agree not to sue the Released Parties as a result of the recording or use of my Likeness or the Materials (including, without limitation, any claim that such use defames me or invades any right of privacy and/or publicity) or for any reason based on any of the Released Claims hereunder. The term "Released Parties" shall mean and refer to Happenstance, any licensees or assignees of the Program or the Materials, the other participants in the Program, all other persons and entities connected with the Program, all parent, subsidiary, related and affiliated entities, licensees, successors, assigns, sponsors and advertisers of each of the foregoing, all of the respective directors, officers, principals, executives, on-air talent, employees, agents, contractors, partners, shareholders, representatives and members of each of the foregoing, and the respective heirs, next of kin, spouses, guardians, representatives, executors, administrators, successors, licensees and assigns of each of the foregoing.

This application shall be interpreted under the internal, substantive laws of the State of Pennsylvania, without regard to the conflicts of law provisions thereof.

The parties agree that if any controversy or claim arising out of or relating to this application cannot be settled through direct discussions, they shall endeavor first to settle the controversy or claim by a mediation administered by American Arbitration Association ("AAA") under its applicable rules. IF THE CONTROVERSY OR CLAIM IS NOT OTHERWISE RESOLVED THROUGH DIRECT DISCUSSIONS OR MEDIATION, THE PARTIES AGREE THAT IT SHALL THEN BE RESOLVED BY FINAL AND BINDING ARBITRATION. THE ARBITRATION WILL BE CONDUCTED IN PITTSBURGH, PENNSYLVANIA. THE ENFORCEMENT OF THIS PROVISION SHALL BE SUBJECT TO THE FEDERAL ARBITRATION ACT. IF THE AAA DOES NOT ADMINISTER THE CLAIM, EITHER PARTY MAY PETITION A COURT OF COMPETENT JURISDICTION TO APPOINT A NEUTRAL ARBITRATOR, WHO, ONCE APPOINTED, WILL SET THE RULES OF PROCEDURE FOR THE ARBITRATION. IN DECIDING LEGAL ISSUES RELATED TO ANY CLAIM AND IN DETERMINING THE APPROPRIATE LEGAL REMEDY, THE ARBITRATOR SHALL APPLY THE APPROPRIATE FEDERAL, STATE OR LOCAL LAW. WHEN HAPPENSTANCE'S POLICIES ARE AT STAKE, THE ARBITRATOR SHALL HAVE NO POWER TO ALTER, AMEND OR CHANGE ANY HAPPENSTANCE POLICY EXCEPT TO THE EXTENT SUCH POLICY IS FOUND TO VIOLATE APPLICABLE LAW. EACH PARTY SHALL PAY ITS OWN ATTORNEYS' FEES; HOWEVER, THE ARBITRATOR MAY AWARD COSTS AND ATTORNEYS' FEES TO THE PREVAILING PARTY TO THE EXTENT PERMITTED BY LAW. I AGREE THAT MY REMEDY FOR ANY CLAIM BROUGHT PURSUANT TO THIS APPLICATION SHALL BE LIMITED TO ACTUAL DAMAGES, AND IN NO EVENT SHALL I BE ENTITLED TO RECOVER PUNITIVE OR EXEMPLARY DAMAGES OR TO RESCIND THIS AGREEMENT OR TO SEEK OR OBTAIN INJUNCTIVE OR ANY OTHER EQUITABLE RELIEF. BY SUBMITTING CLAIMS TO ARBITRATION, HAPPENSTANCE AND I ARE WAIVING OUR RESPECTIVE RIGHT TO A JURY TRIAL.

Thank You for Completing Your Application. Before Submitting, Please Save a Copy for Your Files. If You Haven't Heard Back From Us in 14 Business Days, Please Email info@2happenstance.com to verify we received your application.


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