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PARTICIPANT AGREEMENT FORM
DO NOT SIGN THIS
UNTIL YOU HAVE READ IT COMPLETELY
“RuPaul’s Drag Race”
PARTICIPANT AGREEMENT
Producer:

World of Wonder Productions, Inc.
6650 Hollywood Blvd., Suite 400
Hollywood, California 90028

Effective Date:
Participant:

(“Participant” or “me” or “I”)

Address:
Soc. Sec. No.:
Re: “RuPaul’s Drag Race”
The obligations of World of Wonder Productions, Inc. (“Producer”) under this Agreement
(“Agreement”) are expressly conditioned upon, and subject to, the following conditions
precedent: (a) Producer’s receipt of fully-executed originals of this Agreement (including all
exhibits hereto) in the form submitted to Participant by Company as the form for execution; (b)
Participant’s compliance with all governmental requirements including, but not limited to,
completing, signing and delivering to Producer all required tax and immigration forms (if and as
applicable); and (c) Producer’s receipt of any and all information and documentation required or
requested by Producer in connection with statutory record-keeping and identification verification
regulations and requirements.
For good and valuable consideration, the receipt and sufficiency of which are hereby
acknowledged (and including, but not limited to, the opportunity to be considered to be a
participant in a reality television program and to receive the Rights Payment as defined below in
Section 5), I have agreed to participate in a potential reality television program (the “Series”)
documenting my experiences (including those for which I may have a reasonable expectation of
privacy but for the terms herein) at a remote location in a potential performance competition in
connection with a project tentatively entitled “RuPaul’s Drag Race” (the Series is sometimes
referred to herein as the “Program”) to be produced by Producer for Viacom Media Networks
(“VMN”) and currently planned to be initially exhibited on LOGO, the MTV Networks’ gay and
lesbian basic cable network, whose programming content, including advertising and promotional
content, may deal publicly with issues of a personal, private and sexual nature, including issues
and themes concerning homosexuality. I acknowledge and understand that in the event Producer
elects to have me participate in the Project (as defined below), I may be an on-camera participant

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in the Project and I will adhere to the terms and conditions of this Participant Agreement and all
applicable rules and regulations of the Project. As used herein, the term “Project” means the
Program, the Interviews (as defined in Section 2(a)), the Additional Series Materials (as defined
in Section 5(b)), and all elements thereof and all ancillary and derivative materials thereof of any
kind (including, without limitation, the Materials and the Rights related thereto).
I acknowledge and understand that Producer desires to use, film, tape and otherwise record
events relating to or occurring in my life and portions of my life story including, without
limitation, any relationships with family, friends, boyfriends, girlfriends, employers, supervisors,
co-workers, and the like before, during and after all phases of production of the Project (to the
extent that such later events and life story relate to my experiences in and/or related to the
subject matter of the Program), and also including all events, set-ups, scenarios, settings,
reenactments, restagings, and occurrences arranged for by Producer in Producer’s sole discretion,
if any, (collectively, “Events”) and including any Interviews (as defined below), so that Producer
can produce episodes of the Program and other materials for the Project, and so that VMN can
distribute, exhibit and/or otherwise use the Project. I acknowledge and understand that I shall
not be an employee or agent of the Producer in connection with my participation in the Project
and shall not receive any compensation for my appearance on or otherwise in connection with
the Project, other than the payment related to the grant by me of certain rights as applicable and
as defined in Section 5.
In consideration of and as an inducement to Producer to consider me as a participant in the
Project and in consideration of the benefits that I will receive as a participant in the Project, I am
making the representations, warranties, disclosures, covenants and agreements described in this
Agreement as follows:
1.

Development/Production Options.

(a)
Producer has the option to require me to appear as a participant in one (1)
cycle of Series episodes in connection with the Project (“Initial Cycle”), subject to the terms and
conditions of this Agreement. If selected, my participation in the Project will be required on
dates to be determined by Producer upon notice to me by Producer.
(b)
I hereby grant to Producer five (5) additional, exclusive, irrevocable
options to have me appear as a participant, subject to the terms and conditions of this Agreement,
in five (5) additional cycles of the Series (“Additional Series Option(s)”). The Initial Cycle and
each additional cycle of the Series shall each be a “Cycle.” Producer may exercise any of its
Additional Series Options, if at all, at Producer’s sole discretion, by written notice to me no later
than the date that is six (6) months after initial exhibition of the final episode in the immediately
preceding Cycle. The Initial Option and each Additional Series Option shall be an “Option.”
(c)
Even if Producer elects not to exercise any one of the Options above, I
understand and agree that I will not have any right, title or interest in any of the materials of the
Project, including but not limited to, any casting tape, presentation and/or the Series, all of which
I acknowledge will remain, as between me, Producer and VMN, the sole property of Producer
and VMN.

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(d)
I warrant that there is no existing obligation, created by law of otherwise,
or disability (mental or physical), which would prevent or restrict me from entering into and fully
complying with the terms of this Agreement, and that I do not now have nor will I enter into any
contractual commitment that conflicts with the terms and conditions of this Agreement.
2.
Participation. Subject to the limitations set forth in this Section and elsewhere in
this Agreement, if the Producer elects to have me participate in the Project, I agree to participate
in the Project as follows:
(a)
Pre-Production/Production of the Program. I agree to participate in
connection with the pre-production and production of the Program as and to the extent required
by the Producer on such dates as Producer may reasonably designate, subject to the Production
Protocols set forth in Exhibit B. In the event Producer exercises an Option, Producer will advise
me of the production schedule for the applicable production when such schedule is available to
on-camera participants in the Program (together, the “Participants”). I acknowledge that due to
the nature of the Program as a reality production, Producer cannot anticipate day-to-day changes
to the production schedule, and I agree that I will cooperate with Producer in good faith with
respect to changes in the production schedule, I will be reasonably available in the event of such
changes and, in any event, I will not act to frustrate the purposes of this Agreement. I
acknowledge that as a convenience to the Participants and to facilitate the production of the
Program, Producer may request on occasion that I appear at a Location (as defined below) at a
particular time during the Production Period to participate in Events. Producer will use good
faith efforts to provide at least three (3) days’ notice of such Event (reducible to one [1] day in
the event of production exigencies), and I agree to appear at such Events as requested. In
addition, I agree to meet with, and be interviewed, from time-to-time by Producer and other
Program personnel, both on-camera and off-camera, at reasonable times and places suggested by
Producer after prior consultation with me, in connection with the Project (the “Interviews”).
(b)
Access. I further grant to Assignee (as defined below) the right to
videotape, film, portray, photograph and otherwise record me, my actions and my voice (and
other sound effects) on an up to a 24-hours-a-day, 7-days-a-week basis in the course of my actual
life, whether by requesting me to wear a microphone (which Producer may require, in its sole
discretion) or not, subject to the Production Protocols.
(c)
Locations. I acknowledge and understand that taping of the Program is
presently set to take place at various locations in or around Los Angeles, but may take place at
other locations as Producer may designate (together, the “Locations”), and that, to the extent
that I have the right to grant access to the Locations where I will be present in the course of my
life (including, without limitation, my residence and place of business), I hereby grant Producer
the right to enter and occupy such locations, and place cameras, temporary structures and other
recording devices therein for the purpose of capturing portions of the Material (as defined in
Section 4 below). If I do not have control over the areas in which Producer wishes to place such
cameras or recording devices, I will use my best efforts to assist Producer in securing the
permission of the owner to allow Producer to place recording devices in such location. Producer
shall not be responsible for any costs or losses incurred by me at the Locations that I may own
and/or control that are related directly or indirectly to production of the Project. I understand and
acknowledge that I may be required to remove or cover any recognizable logos or trademarks

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that may be at the Locations used pursuant to this Agreement, unless such logos or trademarks
have been approved in advance by Producer. The foregoing shall not be construed to prohibit or
limit the appearance at the Locations of any name and/or trademark (such as on signage).
I UNDERSTAND AND AGREE THAT SOME INCONVENIENCE TO ME
AND/OR OTHER RESIDENTS AND/OR GUESTS (IF APPLICABLE) MAY RESULT
FROM SUCH RECORDING DEVICES. PRODUCER AGREES TO RETURN MY
RESIDENCE OR THE RESIDENCE THAT PRODUCER HAS ME OCCUPY DURING
PRODUCTION TO SUBSTANTIALLY THE SAME CONDITION AS EXISTED PRIOR
TO THE INSTALLATION OF SUCH DEVICES, IF ANY, EXCEPT ANY DAMAGE
CAUSED BY THIRD PARTIES. WHILE SUCH DEVICES ARE PRESENT, I AGREE
THAT I SHALL HAVE NO EXPECTATION OF PRIVACY IN SUCH LOCATIONS.
(d)
On-Camera Participation. I agree that Producer and its designees may
film, tape and otherwise record my name, my likeness (whether photographic or otherwise), my
voice, my actions, personality, personal identification (collectively, my “Likeness”), my
conversations, my statements, my performances, my activities, etc. (collectively, my
“Performance”) during and in connection with my participation in the Project. I acknowledge
and agree that Producer may make such recordings of my Likeness and Performance at various
locations, including, without limitation, at any Location. I understand that in connection thereto,
Producer may require me to wear a microphone (wireless or otherwise) and to be accompanied
by Producer’s film crew and representatives for periods during my participation in the Project. I
also acknowledge that Producer may place recording devices (microphones, cameras, etc.) at
various locations, which such devices may or may not be visible to me and the existence and/or
locations of such devices may or may not be disclosed to me by Producer or any other person.
Without limiting the foregoing, I acknowledge and agree that at all times during my participation
in and in connection with the Project any and all of my activities (including, without limitation,
My Performance) may be recorded by Producer (with or without my knowledge). I acknowledge
and agree that during my participation in the Project, as part of my Performance, Producer may
require me to re-create, re-enact or repeat certain actions, activities, statements etc. which I have
already made as part of my Performance. I hereby acknowledge and agree to comply with such
instructions from Producer and fully cooperate with Producer in connection therewith. Although
Participants are instructed to refrain from all forms of violence and intimidation, I understand
and acknowledge that during the course of the Project, I will be in close physical proximity to
other Participants who may, by virtue of the Project, or for other reasons, act unpredictably,
including without limitation exhibiting physical or verbal aggression toward me or other
Participants. I expressly assume the risk of any physical or emotional injuries I may suffer as a
result of my participation in the Project.
WITHOUT LIMITING THE FOREGOING, I ACKNOWLEDGE AND AGREE
THAT DURING MY PARTICIPATION IN THE PROJECT, I SHALL HAVE NO
EXPECTATION OF PRIVACY AND THAT ANY AND ALL OF MY ACTIONS MAY
BE RECORDED (INCLUDING BY HIDDEN CAMERAS AND LISTENING DEVICES)
AND USED BY PRODUCER, INCLUDING WITHOUT LIMITATION IN AND IN
CONNECTION WITH THE PROJECT AND ALL ANCILLARY AND DERIVATIVE
MATERIALS THEREOF.

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(e)
Post-Production Participation. Subject to my reasonable availability, at
Producer’s request I further agree to make myself available for any additional taping or postproduction activities that may be needed after the end of taping of any Cycle, including but not
limited to pre-records, wrap-arounds, interviews and any Additional Series Materials (as defined
in Section 5.b below). In addition, and apart from the foregoing, I agree to participate in postproduction consultation and/or recording sessions (which sessions may be filmed, taped or
otherwise recorded) regarding my experiences and perceptions during production of the Project.
(f)
Additional Participation. I agree to participate in the production of the
Additional Series Materials (as defined below), subject only to my professional availability if
outside of Production Periods (provided that I shall use reasonable, good faith efforts to make
myself available as and when reasonably required by Producer), at a location to be determined by
Producer. As an example, but not by way of limitation, I may be engaged to grant interviews for
a book based on the Project (in addition to providing photographs, drawings, letters and other
materials which I prepared or received during the Production Period of the Program, as provided
by this Agreement), and/or I may be engaged to perform services as a host or in wrap-around
segments for a home video release of the Program. “Additional Series Materials” shall mean
my additional participation (separate and apart from my participation in connection with the
regular Series episodes and excluding promotional appearances) in connection with the
production of: (i) any television specials (e.g., launch or finale specials), compilation (e.g., so –
called “cram sessions,” recap episodes or other clip shows), reunions, or “best-of” programs
(separate and apart from episodes of the Series), alternative versions of Series episodes (e.g., socalled “remix” episodes), and/or extended episode content (e.g., to create so-called “super-sized”
versions of episodes) based on or in connection with the Series; (ii) enhancement materials
including, without limitation, host wraparounds, on-screen commentary, voiceover materials,
mini-episodes, so-called “after shows,” behind-the-scenes content, and other extended
programming content; (iii) promotional spots (which, by way of clarification, include, without
limitation, sponsor co-branded promo spots and interstitials), trailers and in-store sales tapes; (iv)
gaming content including, without limitation, voiceover and image/motion capture materials; (v)
graphics/wallpaper content (e.g., talent photos) and audio content (e.g., voicetone/voice ringback
content); (vi) virtual reality environments and community applications, websites (including,
without limitation, social networking or user-generated or user uploaded content-based sites,
including so-called “verticals” [e.g., IAmOnMTV.com]), webpages or weblogs (which may be
text, audio and/or audiovisual) and/or social networking websites or webpages (e.g. about my life
experiences, my experiences on the Series, etc.) to be written and/or maintained by me as
instructed by Producer and subject to Producer’s right to edit and/or otherwise approve any and
all elements thereof (each, a “Blog”); and (vii) other similar materials (i.e., materials other than
regular Series episodes), for all media whether now known or hereinafter devised, including
without limitation, home video/DVD or other similar platforms, wireless, online or any other
interactive platforms. As used herein, “Production Periods” shall mean production periods for
the production of regular Series episodes, including pre- and post-production periods and any
extended weeks (e.g., due to production overruns, force majeure events or additional episode
orders) attributable to the production of regular Series episodes. If I am required to travel to a
location more than fifty (50) miles from my current residence, in connection with such
appearances, Producer shall provide me with travel in accordance with Section 2(h) below.

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(g)

Exclusivity.

(i)
I agree, from the effective date of this Agreement and until twelve
(12) months after the initial broadcast of the last episode of the Program in which I appear (the
“Exclusivity Period”), that my appearance and participation hereunder will be exclusive to
Producer in all media, except that I shall be allowed to make or appear in any live performances
and personal appearances (“Live Performances”), provided that I do not publicize, advertise,
mention or promote my appearance in the Program in connection with such Live Performances
and that I strictly adhere to my obligations regarding confidentiality and publicity contained in
Section 12 of this Agreement and on the use of Producer’s marks contained in Section 14 of this
Agreement. For the avoidance of doubt, I will not appear on, or authorize production of, or
participate in any way with any other television programming, theatrical motion picture, radio
programming, Digital Service (as defined below), print media (including, without limitation,
digital publishing), commercials or other endorsements, merchandising (including, without
limitation, gaming on any platform) or any other program, product or service in any media now
known or hereafter devised without Producer’s prior written consent. During the Exclusivity
Period and subject to the exclusion for Live Performances above, if I wish to appear on,
authorize production of, or participate in any project in any media, then I shall request
Producer’s permission in writing in advance and Producer shall determine in its sole absolute
discretion whether to grant its permission in each instance. Notwithstanding the foregoing, if
Producer does not exercise its Initial Option hereunder, the Exclusivity Period shall expire upon
the expiration of the Initial Cycle Option period.
(ii)
In the event Producer permits me to participate in, or in connection
with, any Digital Service, Producer shall nevertheless have the right, at any time during the
Exclusivity Period, to require all AV Material (as defined below) to be exclusively accessed by
any user through a service, website, application, platform or program controlled by, or on behalf
of, Producer, including, without limitation, Producer’s YouTube channel “WOW Presents”
(“Producer Service”). I will cooperate with any of Producer’s reasonable requirements in
connection with the Producer Service (including, without limitation, installing any necessary
software programs or applications to effectuate the foregoing and executing separate agreements
with such Producer Service). I acknowledge and agree that Producer and/or its affiliate shall
have the exclusive right to include in the Producer Service any YouTube channel or other
digital/internet platform owned and/or operated by me or under my control (including the same
content made available via all YouTube subdomains and technology-specific and territorial
versions thereof) (“Participant’s Channel”) (however accessed, including, without limitation,
access via YouTube or other digital/internet platform-owned or controlled mobile platforms such
as WAP and mobile applications, video-on-demand, and any other content platforms, media and
technology, including, without limitation, Internet protocol and interactive platforms and
interfaces, and any YouTube (or other digital/internet platform’s) video player, through which
YouTube and/or such other digital/internet platform distributes and serves content to end users,
whether now existing or hereafter developed), whether now-existing or launched in the future.
In such event, and for the avoidance of doubt, I acknowledge and agree that Participant’s
Channel shall be included and/or “rolled up” exclusively into Producer’s and/or its affiliate’s
total numbers on YouTube and/or such other digital/internet platform and Producer and/or its

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affiliate shall be entitled to receive any and all payments in connection therewith directly from
YouTube and/or such other digital/internet platform (from which Producer and/or its affiliate
shall be entitled to deduct its customary percentage prior to remitting the balance to me). In
furtherance of the foregoing, and promptly following Producer’s request therefor, I agree to
execute and enter into Producer’s customary form of “Multi-Channel Network Content Provider
Agreement” for the purpose of further effectuating the foregoing provisions. Producer shall have
the right to approve all materials (including, without limitation, the AV Material) included on
such Producer Service. I represent and warrant that any such materials provided by me shall be
fully cleared in respect of all third- party materials and all clearance costs will have been paid by
me so that Producer may fully exploit such materials as described herein. I shall indemnify and
hold Producer harmless in connection with any breach of the foregoing.
(iii)
As used herein, the “AV Material” means any audio-visual, visual
or audio material that includes my image, voice or likeness (including, without limitation, video
footage, audio recordings or photographs of me) that I have authorized for inclusion in or on any
Digital Service (including, without limitation, by means of an upload or link to such Digital
Service) or otherwise made available on any Digital Service, whether such AV Materials are
related to the Project or not.
(iv)
As used herein, “Digital Service” means any website, program,
service or product delivered by means of any internet or wireless protocol now known or
hereafter devised, including, without limitation, any social media application, service or website,
such as Facebook or Twitter.
(h)
Promotional Appearances. For no additional compensation, I will be
available and will participate as, when and where Producer may require during the Exclusivity
Period in connection with promotion, marketing, advertising, publicity, interviews and similar
matters (e.g., appearing on news shows, morning shows, talk shows, participating in publicity
interviews with press, personal appearances at live events such as award shows, up-front
presentations to advertisers, TCA), and make other appearances as required by Producer in
connection with the Project, including, without limitation, appearing in institutional advertising
and promotions for Producer and/or VMN. If I make a promotional appearance at Producer’s
specific request and direction at an overnight location more than fifty (50) miles away from my
permanent (or then-current place of residence, if different), Producer shall provide me with the
following on an if available, if-used basis: one (1) roundtrip coach-class airline ticket, standard
hotel accommodations (covering room and tax only) and $75 per diem (half day rate for travel
days).
(i)
Production Protocols. I have received, read and understood the terms,
conditions and rules and production protocols affecting the production of the Project, the conduct
of the Participants, the Project activities, and (if applicable) whether participants are included in
the Project (the “Production Protocols”) attached hereto as Exhibit B and incorporated by this
reference, and agree to comply with the Production Protocols.
(j)
Withdrawal/Removal. I understand that to the extent I discontinue my
participation or withdraw my participation as a participant in the Project at any time (a
“Withdrawal”), that no such Withdrawal will affect any of the rights granted or assigned by me
or any of the covenants, agreements, waivers, releases or indemnities made by me in this

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Agreement , and that my exclusivity, confidentiality and all other obligations hereunder shall
continue (including, without limitation, as set forth in Section 12 of this Agreement). In the
event of a Withdrawal, I agree that I shall nonetheless participate in the publicity interviews and
the preparation of promotional materials for the Project as reasonably requested by Producer. If I
am removed from the Project, or in the event of a Withdrawal, Producer may make any
explanation or announcement (on-air or otherwise), to explain my absence to Project viewers.
IN THE EVENT THAT I DISCONTINUE MY PARTICIPATION IN OR IN CONNECTION
WITH THE PROJECT FOR ANY REASON PRIOR TO THE CONCLUSION OF MY
PARTICIPATION AS REQUIRED IN THIS AGREEMENT, I RECOGNIZE AND
ACKNOWLEDGE THAT THEREAFTER I SHALL BE INELIGIBLE FOR THE RIGHTS
PAYMENT (AS DEFINED IN SECTION 5 BELOW) OR ANY OTHER PAYMENT
HEREUNDER.
(k)
Sponsor Integrations. I acknowledge that, as determined by Producer in
its sole discretion, the Project, including without limitation, the advertising, marketing and
promotion thereof, may contain product placements, product integrations, sponsor
identifications, product demonstrations, sponsored Project promotional announcements or
interstitials and/or other similar sponsor-related references, information or activities
(collectively, “Sponsor Integrations”). In furtherance of, and without limiting any of,
Producer’s rights hereunder, I agree that I will actively participate in and with such Sponsor
Integrations, if and as requested by Producer, including, without limitation, naming, identifying,
wearing, using, describing, demonstrating and/or otherwise referring to, or interacting with,
sponsor products, services and/or brands (each, a “Sponsor Activity”).
(l)
Management Options. I hereby grant to Producer the exclusive option to
serve as my exclusive manager pursuant to an agreement to be negotiated in good faith between
Producer and me in accordance with industry standard. Without limiting the foregoing, I agree
not to engage a third-party manager without Producer’s prior, written consent. I agree that I will
not (and I will not authorize or permit anyone else to) issue any publicity, press release, or other
announcement concerning my management without first obtaining Producer’s prior written
approval of such statement, release or announcement.
3.
Background Check and Release of Medical Information/Emergency Medical
Care and Release of Liability.
(a)
I understand that upon execution of this Agreement, or at any time during
my participation in the Project, Producer may conduct an investigation of my medical and/or
psychological status, criminal history (if any) and/or my personal and/or professional
background. Such medical and/or psychological investigation may include my submitting to
routine physical and/or medical exams conducted by licensed professionals of Producer’s
choosing on a date to be determined in Producer’s discretion taking into consideration
Participant’s availability. The results of all evaluations will be kept confidential to the extent
possible and/or practicable, and will Producer shall not use the results in or as part of the Project.
In this regard, I consent to and agree to complete the “Background Authorization &
Disclosure Form” furnished by Producer and “Authorization for Release of Medical
Information” attached hereto as Exhibit A, both of which are incorporated by this reference.

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I hereby waive any physician-patient privilege I may have or that may arise with
any physicians, psychologists, health care providers (including both physical and mental
health care providers), social workers, health care institutions, insurers and other
individuals or entities as a result of my participation in the participant selection process
and/or the Project, and I authorize the release to you of all records and information,
written, verbal, electronic or otherwise, from any of the above persons and/or entities. I
agree to sign any additional authorizations that you or a health care provider deem
necessary to facilitate the release of such records.
(b)
In case of an emergency, I authorize Producer to arrange for or provide
such medical assistance to me as it determines is necessary. I also authorize any licensed
physician, health care personnel and/or medical facility to provide any medical care and/or
hospitalization of me, including anesthetics, which such licensed physician, health care personnel
and/or medical facility determines necessary or advisable. I authorize any reasonably necessary
care by paramedics. I acknowledge that I have disclosed to Producer all medical conditions that
could in any way affect my participation in the Project. In connection with the foregoing, I also
agree to execute a copy of the “Emergency Medical Release” attached hereto as Exhibit C and
incorporated by this reference. Nothing in this subsection in any way limits the right of
Participant or anyone holding a medical proxy for Participant to make medical decisions for
Participant which decisions shall prevail over Producer’s medical decisions.
(c)
I hereby acknowledge and agree that certain of my activities in connection
with the Project may be considered hazardous and/or dangerous. I acknowledge that I am
voluntarily engaging in such hazardous activities and I accept and assume the entire risk of any
loss, damage or injury to me or any other person or property resulting from or relating to me
engaging in such hazardous activities. In addition to my signature on this Participant Agreement
being a condition of Producer permitting me to be a participant in the Project, my signature on
the Assumption of Risk and Release of Liability Agreement attached hereto as Exhibit E to be
provided by Producer is also a condition to Producer permitting me to be a participant in the
Project.
4.
Grant of Rights. I hereby grant to Producer, VMN and all of their respective
licensees, designees, successors and assigns (each individually and all collectively, “Assignee”),
perpetually, irrevocably and for their exclusive use and enjoyment throughout the universe, the
following rights (the “Rights”):
(a)
I agree that all results and proceeds of every kind of my participation
heretofore and hereafter in connection with the Project, including, without limitation, my
Performance, any elements of my life story contained within the Project, the Interviews, all
ideas, gags, suggestions, themes, plots, stories, characters, characterizations, dialogue, text,
designs, graphics, titles, drawings, artwork, digital works, songs, music, photography, video, film
and other material, whether or not fixed or reduced to drawing or writing, at any time heretofore
or hereafter created or contributed by me which in any way relate to the Project or to any of the
material on which the Project will be based, whether or not actually used by Producer in or in
connection with the Project (collectively with Additional Series Materials, the “Material”), are
and shall be deemed to be works-made-for-hire specially ordered or commissioned by Producer.
Accordingly, Producer is and shall be considered the author and, at all stages of completion, the

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sole and exclusive owner of the Material and all right, title and interest therein. The Material
shall include, without limitation, all copyrights, neighboring rights, trademarks, patents and any
and all other ownership and exploitation rights in the Material now or hereafter recognized in
any and all territories and jurisdictions, including, by way of illustration, production,
reproduction, distribution, adaptation, performance, fixation, rental and lending rights,
exhibition, broadcast and all other rights of communication to the public, and the right to exploit
the Material throughout the universe in perpetuity in all media, markets and languages and in any
manner now known or hereafter developed or devised. If under any applicable law the fact that
the Material is a work-made-for-hire is not effective to place authorship and ownership in
Producer of the Project, the Materials and/or the Rights, and all rights therein, then to the fullest
extent allowable and for the full term of protection otherwise accorded to me under applicable
law, I hereby assign and transfer to Producer the Rights and, in connection therewith, any and all
right title and interest of in the Project and any other works now existing or hereafter created
containing the Material.
(b)
Producer shall have the sole and exclusive right to use, develop, market,
sell, manufacture, exhibit, distribute, netcast, broadcast, license and/or otherwise exploit the
Material, the Rights and the Project, in whole or in part, alone, or together or as part of other
works of any kind or nature throughout the universe in perpetuity in any and all media, platforms
and formats now known or hereafter devised. All revenues, receipts, consideration, or other
benefits derived by Producer or any Assignee from the use, exhibition, publication, distribution,
transmission, licensing, display or other exploitation of the Material, the Rights and/or the
Project shall be the sole and exclusive property of Producer and/or Assignee and I shall not have
any interest in or to any such revenues.
(c)
I hereby grant Producer the right to change, add to, take from, translate,
reformat or reprocess the Material in any manner Producer may determine in its sole discretion.
To the fullest extent allowable under any applicable law, I hereby irrevocably waive or assign to
Producer the benefits of any provision of law known as “droit moral,” “moral rights” or any
similar rights or principles of law in any country of the world which I may now or later have in
the Material, and agree not to institute or permit any action or lawsuit on the ground that the
Project or any other production based upon the Material constitutes an infringement of my droit
moral or is in any way a defamation or mutilation of the Material or any part thereof, or contains
unauthorized variations, alterations, modifications, changes or translations. I expressly
acknowledge that many parties will contribute to the Project and other works that will embody
all or part of the Material or the Rights. Accordingly, if under any applicable law the above
waiver or assignment by me of “moral rights” or “droit moral” is not effective, then I agree to
exercise such rights in a manner that recognizes the contribution of, and will not have a material
adverse effect upon, such other parties.
(d)
Producer shall have the perpetual, irrevocable and exclusive right to use,
and authorize others to use, my Likeness in connection with the Project, the Material and/or the
Rights and for advertising, publicity, marketing, promotional and commercial tie-in purposes in
connection with the Project and/or any other motion picture or other works based upon or related
to the Project, the Material and/or the Rights, all ancillary and subsidiary rights therein and
thereto (including, without limitation, merchandising and commercial tie-in rights and over the
Internet), or any other use of the Project, as well as in or in connection with promotional

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materials for VMN, its affiliates, sponsors and/or their respective programming services and/or
programs and for the institutional purposes of the cable industry generally, in any and all media
now known or hereafter devised. I acknowledge that Producer may depict or portray my
Likeness, and/or my life story either accurately or with such liberties and modifications as
Producer determines necessary in its sole discretion for the purposes of fictionalization,
dramatization or any other purposes, including without limitation to achieve a humorous or
satirical effect, and by means of actors who may or may not resemble me.
(e)
I further grant to Assignee the right to use, and include in the Project, any
or all information and/or material (including music pursuant to the provisions of Section 4(f)
below) I supply in connection with the Project or otherwise (including in the Interviews, the
Material and any and all other biographical information, photographs or videotapes of me and/or
others, and/or any other materials), any and all other information Producer has received from
other sources about or concerning me, and any reproductions or recordings of any nature of any
of the foregoing, in whole or in part.
(f)
In connection with Producer’s use of musical compositions written or cowritten by me, I hereby grant to Producer a free, non-exclusive synchronization license in the
music publishing rights of each such composition for the purpose of using the compositions
within the Project and with respect to Producer’s distribution thereof and ancillary uses thereof
(including, but not limited to, the advertising, marketing, publicity and promotion of the Project),
in perpetuity. In addition, I will use reasonable, good faith efforts to assist Producer in obtaining
a free, non-exclusive, synchronization license (consistent with the terms hereof) from each cowriter of each composition co-written by me that Producer intends to include in the Project;
provided, however, that any failure to successfully obtain any such synchronization license after
such efforts shall not be deemed a breach of this Agreement. Producer will have sole
responsibility for attempting to obtain any other required licenses from all other
authors/publishers, including all co-authors of my compositions. I will execute any synch or
other required licenses consistent with this Section 4(f). Producer acknowledges that the
foregoing synchronization license does not apply to non-dramatic performing rights in music to
the extent the same are controlled by ASCAP, BMI or any other performing rights society. In
connection with Producer’s use of pre-existing master recordings owned and/or controlled by
me, I hereby grant to Producer a free, non-exclusive master use license in connection with each
such master recordings for the purpose of using the master recordings within the Series and with
respect to Producer’s distribution thereof (including but not limited to, the advertising, publicity
and promotion of the Series) in all media, in perpetuity.
(g)
Notwithstanding anything to the contrary contained herein, if I shall
perform or display any original music, writings, photography (still or moving), artwork or other
materials created by me but not specifically in connection with the Project, I shall have the nonexclusive right to continue to use such original material in all media forever, and that I shall own
the underlying copyright in my original materials, subject to Assignee’s rights herein.
(h)
Without limiting any of the foregoing, I acknowledge and agree that the
Rights include the right of Assignee to use the any portion or excerpt of the Materials (including,
without limitation, using only the audio component of any portion of the Materials without any

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associated visual component or vice-versa) in any and all media, manners and platforms, whether
or not in connection with the Project.
(i)
Without limiting any of the foregoing, I acknowledge and agree that the
Rights include the right of Producer and/or Assignee to use my Likeness in and in connection
with, and for the purpose of, the offering for sale of products, goods and services as well as the
exercise of any and all other merchandising rights of any kind or nature whatsoever as
determined in the sole discretion of Producer and/or Assignee.
(j)
In addition, I hereby grant to Producer the irrevocable and perpetual right
and license, throughout the universe, in any and all media, manner or platforms in any language
to use and/or license my Likeness (a “TPM Use”) as embodied and contained in the Material and
my name, whether or not embodied in the Material, for the purpose of, and in connection with,
the sale of certain third party products, goods and services (“Third Party Merchandise”) (as
further described below herein). The grant contained in this Section 4(i) is limited to the use of
my Likeness only in connection with the sale of Third Party Merchandise on a “Seen On” or
similar-type website, distribution platform or service (e.g., wireless) and only in connection with
the Project. The parties acknowledge that Producer has entered into an agreement with a third
party, pursuant to which a “Seen On” website (“Seen On Site”) may be created for the purpose
of selling Third Party Merchandise. I acknowledge that the Seen On Site may provide the end
user with the ability to view my Likeness as contained in the Material in which I am wearing,
using, interacting with, or appearing with Third Party Merchandise (e.g., clothing, furniture, etc.)
and to view products I have worn, used, interacted with, or appeared with in the Series that may
be identified by reference to my name (e.g., “Participant’s][Brand] Handbag”), and may
provide the end user with the ability to purchase such Third Party Merchandise or purchase
similar Third Party Merchandise (e.g., as in the context of a “get the look for less”-type
promotion). I acknowledge that the uses of my Likeness permitted pursuant to this Section 4(i)
shall not constitute a direct or indirect endorsement by me of the Third Party Merchandise.
Producer may, at its election, display the words “No Endorsement Implied” (or a similar
statement, as determined by Producer) on the section of the site on which my Likeness appears
(placement and size to be determined by Producer in its sole discretion); provided that no failure
to do so shall constitute a breach of this Agreement by Producer. If Producer determines, in its
sole good faith judgment that the appearance of any goods or services in the Material will affect
the integrity or authenticity of the Project, I agree to adjust my use of such goods or services
accordingly during production of the Project. Producer, in its sole and absolute discretion, shall
determine what arrangements with respect to Third Party Merchandise, if any, Producer shall
enter into, and Producer shall determine, in its sole discretion, whether or not to use my Likeness
in connection with the sale thereof. Without limiting the foregoing, any and all terms of any
Third Party Merchandise arrangements, including, without limitation, Producer’s payments, shall
be determined by Producer in its sole and absolute discretion, without any obligation to me.
5.

Rights Payments/Additional Materials Compensation.

(a)
Series: Provided that I am not in breach of this Agreement and Producer
exploits the Rights as described below, in full consideration of the rights granted under this
Agreement, Producer will pay me the following Rights payments (collectively the “Rights
Payment”). To the extent Producer exploits the Rights such that I visibly and recognizably

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appear in the body (e.g., other than in the show open, main title sequence, or end credits) of any
Regular Episode(s) (defined below), and not as part of a “flashback,” or other sequence
contained in the body of such Regular Episode(s) that is comprised of a scene(s) from previously
exhibited or not yet exhibited episode(s) of the Series, Producer will pay me a rights payment,
which shall be determined on a Cycle by Cycle basis, and will be equal to the product of the
applicable Cycle Rights Amount (defined below), multiplied by the number of such Regular
Episodes of such applicable Cycle in which I so visibly and recognizably appear. Company shall
pay me the Rights Payments due to me in connection with any Cycle pursuant to this Section
5(a) as follows: (i) 50% upon completion of principal photography of the last episode of the
applicable Cycle in which I appear and (ii) 50% upon final delivery to Producer of the final
version of the last episode produced for such applicable Cycle. In connection with the foregoing
I acknowledge that incidental appearances (e.g., appearing solely in still photos), or appearances
in the show open, main title sequence, end credits, cold open, super-teases, next-ons,
“previously-ons,” “flashbacks,” “this season,” “last season” or any other sequence(s) contained
in a Regular Episode or other production related to the Series comprised of scenes from a
previously exhibited or not yet exhibited episode(s) of the Series shall not constitute a visible and
recognizable appearance for purposes of this Section 5(a). For purposes of this Section 5(a), the
applicable “Cycle Rights Amount” shall mean Four Hundred Dollars ($400) for the First Cycle,
and with respect to all subsequent Cycles the Cycle Rights Amount shall increase by five percent
(5%) cumulatively on a Cycle by Cycle basis (e.g., the Cycle Rights Amount shall be Four
Hundred Twenty Dollars ($420.00) for the Second Cycle, Four Hundred Forty-One Dollars
($441.00) for the Third Cycle, etc.). A “Regular Episode” of a Cycle shall mean the final
television version of a regular Series episode produced for such Cycle (and not alternate versions
of already-existing episodes, episodes contained in any other Cycle of the Series or any other
series, nor any “best-of,” “reunion,” “compilation,” “cram-session,” “special,” or other program
of any kind, whether related to the Series or any other series or production [for which I
acknowledge, except as may otherwise be set forth herein, I shall not be due any additional
payment even to the extent Producer exploits the Rights in connection therewith]). The Rights
Payments and Cycle Rights Amount shall be payable pursuant to Producer’s production and
payment schedules for the Project.
(b)
Additional Series Materials. I agree to participate in the production of
Additional Series Materials (as defined in Section 2(f) above), and if such participation is not
concurrent with, or consecutive to, Production Periods for the Program, I shall be paid an
additional payment equal to Two Hundred and Fifty Dollars ($250) per day (less any required
withholdings) of my participation in connection with the production of the Additional Materials
(“Additional Materials Compensation”) of my participation in connection with the production
of the additional series materials (other than any Blog). I shall not receive any additional
compensation for any Additional Series Materials provided during the Production Periods. In the
event Producer elects to have me render services in connection with a Blog, then I agree to be
engaged by Producer to render such services and I shall be paid a flat, one-time, all-inclusive
payment equal to Two Hundred and Fifty Dollars ($250) per Cycle for which such services are
required, less any required withholdings (“Blog Compensation”). If so engaged to render
services on a Blog, I agree to execute all required tax and immigration forms applicable to such
services, as well as any documentation required by Producer, consistent with the terms hereof, to
evidence Producer’s rights hereunder. By way of clarification, if my participation in the
production of Additional Series Materials (other than a Blog) is concurrent with, or consecutive
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to, Production Periods for the Series, I shall not receive a separate payment for the Additional
Series Materials; provided, however, that, if Producer elects to engage my services in connection
with a Blog, the Blog Compensation would be payable whether or not such services are rendered
concurrently, consecutively or in-between Production Periods for the Series. If my additional
participation is not required by Producer in connection with any of the Additional Series
Materials, then I will not receive any additional compensation (including, without limitation, the
Additional Materials Compensation set forth above or any pro-rated portion thereof) in
connection therewith.
(c)
Expenses; Foregone Opportunities. I understand and agree that, except as
expressly stated herein or as provided by Producer in Producer’s sole discretion, I shall be
responsible for all expenses that I incur in connection with my participation in the Project. In
connection with this, I acknowledge that to the extent I choose to miss any business opportunity
or other engagement (including, without limitation, any days of work with my regular employer)
for the opportunity to participate in the Project that I am doing so at my own choosing, and that
neither Producer nor any Assignee shall be responsible for the amount of any lost wages or other
pecuniary or other amounts that I chose to forego to participate in the Project. Furthermore, even
to the extent that I am not selected as a participant in the Project, I acknowledge that any
decision by me to rearrange my schedule and/or miss any business opportunity or other
engagement for the opportunity to participate in the Project was made by me by my own
choosing, and that neither Producer nor any Assignee shall be responsible for the amount of any
lost wages or other pecuniary or other amounts that I chose to forego in the hopes that I would be
afforded the opportunity to participate in the Project.
6.
No Obligation. Neither Producer, VMN, nor any other Assignee shall have any
obligation to use the results and proceeds of my participation in the Project Producer’s sole
obligation is to abide by the terms of this Agreement. Further, and without limiting the
foregoing, neither Producer, VMN nor any other Assignee shall have any obligation to actually
produce or exhibit the Project or to use or otherwise exploit the Project, Material, my Likeness or
the Rights.
7.
Approvals. As between Producer and/or any other Assignee, on the one hand
and me, on the other hand, Producer and/or Assignee shall have all creative, financial, business,
distribution and other approvals and controls in connection with the Project, and the right to
initiate or refrain from initiating action with respect to any and all matters related to the Project,
all of which Producer and/or Assignee may exercise when and at its sole and absolute discretion.
All materials used by me in connection with the Project shall be subject to Producer’s prior
approval.
8.
Other Projects. If, from the effective date of this Agreement until twenty-four
(24) months after the initial broadcast of the last episode of the Program in which I appear, I
desire to render services in connection with another television program, or a motion picture,
internet production or other audiovisual production, or in connection with any products,
merchandise, phonorecords, books, games, commercials, sponsorships, endorsements,
promotions or co-promotions (including, without limitation, licensing my name, likeness and/or
voice in connection with any of the foregoing) (each, an “Other Project”), I shall give Producer
written notice of that intention and I will negotiate exclusively with Producer in good faith for

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thirty (30) days with respect to the terms and conditions for each proposed Other Project (the
“Exclusive Negotiating Period”). I shall not negotiate with any third party prior to the
commencement of or during the Exclusive Negotiating Period with respect to each Other Project.
If no agreement is reached between Producer and me during the Exclusive Negotiating Period
with respect to the applicable Other Project, I may thereafter enter into negotiations with third
parties with respect to the Other Project. I shall not enter into any arrangement, understanding,
or agreement with respect to the Other Project without first receiving a written and signed offer
from such third party (the “Offer”) and providing the Offer to Producer. After receipt of the
Offer, Producer shall have ten (10) business days within which to decide whether to refuse or
accept the Offer (the “Matching Period”). In accepting the Offer, Producer need only accept
those terms and conditions of the Offer that are material and relate solely to the Other Project
and that are readily reducible to a determinable sum of money. If Producer does not exercise its
right of acceptance, I may enter into an agreement with such third party under the exact terms of
the Offer within thirty (30) days after the expiration of Matching Period. If Producer does not
exercise its right of acceptance and if I fail to enter into an agreement with such third party on
the exact terms of the Offer within such thirty (30) days, then Producer’s right of refusal shall
revive and shall apply to each and every further offer or offers received or made by me until
twenty-four (24) months after the initial broadcast of the last episode of the Program in which I
appear. Notwithstanding the foregoing, if Producer does not exercise its Initial Option
hereunder, the Exclusive Negotiating Period and Matching Period shall not apply. I understand
that the Producer and/or its licensees own and control all rights in and to the Program, including,
but not limited to, sponsorship, endorsement, merchandising, promotion and publicity rights
relating to the Program. Without limiting the other provisions of this Agreement, I shall not
enter into any agreement relating to endorsing, sponsoring, or appearing on or in any product,
merchandise, or promotion related to the Program or my participation in the Program. Any such
agreement shall be null and void ab initio, and the provisions of this section shall not apply to
any such agreement.
9.

Release.

(a)
Parties. I acknowledge and understand that it is of the essence to this
Agreement, and I hereby agree on behalf of myself, and my heirs, next of kin, spouse, guardians,
legal representatives, employees, executors, administrators, agents, successors and assigns
(collectively, the “Releasing Parties”), that I and the other Releasing Parties do hereby
unconditionally and irrevocably release and forever discharge each of the other participants in
the Project, any and all Assignees, each one of them and each Assignee’s respective affiliates,
licensees, successors and assigns, and the officers, director, employees, contractors, partners,
shareholders, representatives, members and agents of all of the forgoing (collectively, the
“Released Parties”) from and against any and all claims, demands, liens, agreements, contracts,
actions, suits, costs, attorneys’ fees, damages, judgments, orders and liabilities of whatever kind
or nature in law, equity or otherwise, whether now known or unknown, suspected or
unsuspected, and whether or not concealed or hidden (collectively, the “Released Claims”) in
any way directly or indirectly related to or arising directly or indirectly out of the Project, the
Material, and/or the Rights, including without limitation: (i) my participation and appearance in
or elimination from the Project or activities associated with the production, post-production,
promotion and exploitation of the Project, including without limitation claims for any injury,
illness, damage, loss or harm to me or my property, or my death, and any and all claims,
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demands, damages, costs, expenses and causes of action that I and the other Releasing Parties
may now have or may hereafter have or suffer due to or in any way arising out of any act or
omission of any Released Party; and/or (ii) my own actions and/or the actions of other
participants; and/or (iii) any loss or damage to property and/or equipment; and/or (iv) the actions
of any unrelated third parties invited by me; (v) the production, distribution, promotion,
exploitation or other use of the Project, by Producer, VMN and/or any other Assignee or based
upon failure or omission to make use thereof. The Released Claims shall include, but not be
limited to, those based on negligence of any of the Released Parties or any of the other
participants in the Project, products liability, breach of contract, breach of any statutory or other
duty of care owed under applicable laws, libel, slander, defamation, invasion of privacy, right of
publicity or personality, misappropriation, intentional infliction of emotional distress, negligent
infliction of emotional distress and infringement of copyright. I and the other Releasing Parties
hereby unconditionally and irrevocably agree that neither I nor the other Releasing Parties will
sue or make any claim against any of the participants in the Project or the Released Parties with
respect to the Released Claims.
(b)
Unknown Facts. I, on behalf of myself and the other Releasing Parties
acknowledge that there is a possibility that subsequent to the execution of this Agreement, I or
they will discover facts or incur or suffer claims which were unknown or unsuspected at the time
this agreement was executed, and which if known by me or them at that time may have
materially affected my or their decision to execute this agreement. I and the other Releasing
Parties acknowledge and agree that by reason of this Agreement, and the release contained in the
preceding subsections, I, on behalf of myself and the other Releasing Parties, am assuming any
risk of such unknown facts and such unknown and unsuspected claims. I and the other Releasing
Parties have been advised of the existence of Section 1542 of the California Civil Code, which
provides:
“A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS THAT THE
CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR
HER FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH
IF KNOWN BY HIM OR HER MUST HAVE MATERIALLY AFFECTED
HIS OR HER SETTLEMENT WITH THE DEBTOR.”
Notwithstanding such provisions, this release shall constitute a full release in accordance with its
terms. I and the other Releasing Parties knowingly and voluntarily waive the provisions of
Section 1542, as well as any other statute, law, or rule of similar effect, and acknowledge and
agree that this waiver is an essential and material term of this release, and without such waiver I
would not have been permitted to audition or become a participant in the Program. I, on behalf
of myself and the other Releasing Parties, hereby represent that I and they have been advised by
their legal counsel, acknowledge and understand the significance and consequence of this release
and of this specific waiver of Section 1542 and other such laws.
(c)
I acknowledge that the release provided for in this Section 9, shall be
in addition to any other releases, including the Assumption of Risk and Release of Liability
attached as Exhibit E to this Agreement.

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(d)
Construction. I acknowledge and agree this Agreement is intended to
operate and be construed as broadly as possible under applicable law. Accordingly, to the extent
applicable law would limit this Section 9 in any way, or invalidate any provisions hereof, such
limitation or invalid provision shall not operate to invalidate this Section 9 in its entirety; rather,
this Section 9 shall be deemed to operate and to be effective to the maximum extent permitted by
law.
(e)
Health of Other Participants. I UNDERSTAND THAT DURING
THE PRODUCTION OF THE PROGRAM I WILL BE RESIDING IN CLOSE
QUARTERS WITH OTHER PARTICIPANTS IN THE PROGRAM. I ASSUME ALL
RISKS OF INTERACTING WITH THE OTHER PARTICIPANTS AND ANYONE
ELSE, INCLUDING ANY CONSENSUAL INTIMATE CONTACT THAT I MAY
ENTER INTO MY RELEASE OF LIABILITY IN THIS SECTION 9 SPECIFICALLY
INCLUDES RELEASE OF LIABILITY FOR ANY DISEASE OR MEDICAL
CONDITION THAT I MAY CONTRACT FROM ANOTHER PARTICIPANT OR
ANYONE ELSE IN THE PROGRAM.
(f)
Actions of Other Participants. ALTHOUGH PARTICIPANTS ARE
INSTRUCTED TO REFRAIN FROM ALL FORMS OF VIOLENCE AND
INTIMIDATION, I UNDERSTAND AND ACKNOWLEDGE THAT DURING THE
COURSE OF THE PROJECT, I WILL BE IN CLOSE PHYSICAL PROXIMITY TO
OTHER PARTICIPANTS AND NON-PARTICIPANTS WHO MAY, BY VIRTUE OF
THE PROJECT, OR FOR OTHER REASONS, ACT UNPREDICTABLY, INCLUDING
WITHOUT LIMITATION EXHIBITING PHYSICAL OR VERBAL AGGRESSION
TOWARD ME OR OTHER PARTICIPANTS. I EXPRESSLY ASSUME THE RISK OF
ANY PHYSICAL OR EMOTIONAL INJURIES I MAY SUFFER AS A RESULT OF MY
PARTICIPATION IN THE PROJECT.
10.
Public Domain Results. Nothing in this Agreement shall ever be construed to
restrict, diminish or impair the rights of any Assignee to utilize freely, any work, story, idea, plot,
theme, sequence, scene, episode, incident, name, characterization, dialogue or other material that
may be in the public domain, from whatever source.
11.
Further Documents. I agree to execute such further documents and instruments
and do any acts or deeds as any Assignee may reasonably request in order to evidence, effectuate
or enforce the terms, intents and purposes of this Agreement and/or any of Assignee’s rights
hereunder. Without limiting the generalities of the foregoing, I expressly agree to execute any
additional release, consents or other documents required by Producers; and in the event that I fail
or am unable promptly to execute any such documents or instruments, I hereby irrevocably
appoint Assignee as my attorney-in-fact to execute and file any such documents or instruments
or do any such acts or deeds, provided that said documents, instruments, acts and deeds shall not
be inconsistent with the terms and conditions of the Agreement Assignee’s rights under this
Section 11 constitute a power coupled with an interest and are irrevocable. In addition, I agree to
execute a supplementary confidentiality agreement if requested to do so by Producer.

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12.

Confidentiality.

(a)
Non-Disclosure Obligation. I agree not to disclose, in perpetuity, to any
third party any information to which I have had or will have access concerning the Project,
including without limitation, the premise and title of the Project, the names of individuals
associated with the Project, other elements relating to production of the Project, any storylines or
outcomes of the Project or events captured or recorded by Producer in connection with the
Project, except to the extent any such information has intentionally been disclosed by Producer;
any of Producer’s or VMN’s operations, programming, production or trade practices, or other
services or the terms and conditions of this Agreement, except I may reveal the foregoing
information only as required to fulfill my obligations hereunder, as expressly permitted by
Producer in writing or as required by law.
(b)
Publicity/Press. I agree also not to make or authorize any other person to
make any statement to any media service with respect to the Project or any Assignee, or
otherwise publicize, advertise or promote my appearance on the Project, without Producer’s prior
written approval in each instance. Notwithstanding the foregoing, after the initial broadcast of
the initial episode of the Program in which I appear, I may refer incidentally and without
revealing Project details to my appearance in the Project as reasonably required in connection
with my resume and general personal publicity that does not have as a focus the Project,
provided such reference is non-derogatory and truthful. In addition, I will not myself, and I will
not authorize others to, prepare or assist in the preparation of any written work, any audio work,
visual work or any audio-visual work that depicts, concerns, or relates in any way to my
appearance on the Project. All contact with the media regarding the Project or my participation
in the Project must be organized and sanctioned by the press officer of Producer in connection
with the Program or by a duly authorized representative of Producer and/or VMN. For the
avoidance of doubt, I agree that my confidentiality obligations and publicity restrictions
hereunder shall apply to any and all media whatsoever, including, without limitation, any social
networking site; micro-blogging service; user-generated or user-uploaded content website; online
forum, discussion thread or comment section; personal website or blog; user modified website
(“wiki”); or any other website, service, platform, program, application or other form or method
of communication, whether now known or hereinafter devised. For example and for the sake of
clarity, I agree that I may not make disclosures prohibited hereunder via Facebook, Twitter,
Youtube or any other similar website or service, whether existing now or in the future.
(c)
Liquidated Damages. I agree that disclosure by me in violation of the
foregoing shall constitute and be treated as a material breach of this Agreement which will cause
irreparable harm to Assignee entitling Assignee to seek, among other things, (i) injunctive relief,
without posting any bond, to prevent and/or cure any breach or threatened breach of this Section
12 by me, (ii) recovery or disgorgement of the monies or other consideration received in
connection with such disclosure, if any, (iii) recovery of Producer’s attorneys’ fees incurred to
enforce the terms of this Section 12, and (iv) an amount equal to Two Million Dollars
($2,000,000), which amount is agreed upon by the parties as liquidated damages and not as a
penalty, and which sum amount has been computed, estimated and agreed upon as an attempt to
make a reasonable forecast of probable actual loss because of the difficulty of estimating with
exactness the damages which shall result.

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(d)
For the avoidance of doubt, the terms and conditions of this Section 12
shall survive the termination or expiration of this Agreement.
13.
Third-Party Releases. If requested, I agree that I shall use my best efforts, at no
cost to Producer, to assist Producers in obtaining releases from all members of my family and my
friends (i.e., mother, father, daughter, son, sister, brother, spouse, roommate, etc.), dependents,
heirs, boyfriends, girlfriends, my clients, and other persons known to me in a form provided by
Producer, and to use my best efforts to procure such releases from such other persons as
Producer may deem necessary or desirable.
14.
Restrictions on Use of Trademark. I shall not at any time use the names, logos,
trade names or trademarks of any Assignee (including, but not limited to, MTV: MUSIC
TELEVISION, M2, VH1, NICKELODEON, NICK-AT-NITE, COMEDY CENTRAL, SPIKE,
CMT, TV LAND, LOGO, the title of the Program), or those of any Assignee’s related
companies, for any purpose without Producer’s express prior written consent, including without
limitation, in connection with any media appearance or other types of appearances I make at any
time, or in connection with any kind of advertising, promotion, publicity, merchandise, tie-in,
product or service (including over the Internet).
15.
Termination. Producer shall have the right to terminate this Agreement and/or
my participation in the Project if it determines, in its sole and absolute discretion, that it desires
to terminate my participation in connection with the Project for any reason, or if the Project is
canceled or its format is materially altered. In addition, in the event of any occurrence of an
event of force majeure (as defined below), Producer shall have the right in its sole discretion,
upon notice to me, to immediately suspend and/or terminate my participation hereunder and
shall, during such period of suspension or upon termination, be released from any further
obligations to me whatsoever. Producer may terminate any period of suspension at any time in
its sole discretion and I shall immediately thereupon resume my participation hereunder. As
used herein, an “event of force majeure” shall mean any Act of God; inevitable accident; fire;
lockout; strike or other labor dispute; riot or civil commotion, act of public enemy, act of
terrorism, law, enactment, regulation, rule, order or act of government or governmental
instrumentality (either Federal, State or local, foreign or other), failure of technical facilities; or
other cause of similar or different nature beyond the control, of Producer which materially
interferes with, prevents, or impedes production of the Program or any Assignee’s operations. In
addition, Producer may immediately terminate me for any potentially illegal behavior and/or
violation of any of the Production Protocols, including but not limited to drug use or assault,
during the period that this Agreement is in effect. No termination pursuant to this section will
affect any of the rights granted or assigned by me or any of the covenants, agreements, waivers,
releases or indemnities made by me in this Agreement.
16.
Remedies. I acknowledge and agree that the rights granted hereunder and my
participation related thereto are unique, unusual, special and extraordinary, the loss of which
would not be adequately compensable in damages in an action at law, and that, in addition to any
rights or remedies which Producer may have under this Agreement or otherwise, Producer
therefore would be entitled to all available equitable remedies in case of breach or threatened
breach of this Agreement by me. Any remedies, rights, undertakings and obligations contained
in this Agreement shall be cumulative and none of them shall be in limitation of any other

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remedy, rights, undertaking, or obligation of either party. HOWEVER, NO BREACH OF
THIS AGREEMENT SHALL ENTITLE ME TO TERMINATE OR RESCIND ANY OF
THE RIGHTS GRANTED TO ASSIGNEE HEREIN, AND IN THE EVENT OF ANY
QUESTION OF PRODUCER’S PERFORMANCE OF ITS OBLIGATION
HEREUNDER, I HEREBY WAIVE THE RIGHT, IN THE EVENT OF ANY SUCH
BREACH, TO EQUITABLE RELIEF OR TO ENJOIN, RESTRAIN OR INTERFERE
WITH THE EXHIBITION OF THE PROJECT OR THE EXERCISE OF ANY OF THE
GRANTED RIGHTS, IT BEING MY UNDERSTANDING THAT MY SOLE REMEDY
SHALL BE THE RIGHT TO RECOVER MONETARY DAMAGES WITH RESPECT
ONLY TO THE ACTUAL HARM CAUSED BY ANY SUCH BREACH, BUT IN ANY
EVENT, NO CONSEQUENTIAL, PUNITIVE OR SPECIAL DAMAGES.
17.

Representations/ Warranties/Indemnification.

(a)
Representation and Warranties: I hereby represent and warrant and agree
that (i) I am an adult over 18 years old (or have advised Producer that I am a minor and my
parents or legal guardian have consented to the terms hereof) and I am legally able to work in the
United States; (ii) I have full right, power and authority to enter into and fully perform this
Agreement; (iii) I have not entered into any other agreement, nor have I done or will I do any act
or thing which in any way prevents, hampers or conflicts or interferes with the full and complete
performance of my obligation to Producer or any rights granted by me hereunder; (iv) I am
aware that payment or acceptance of, or agreement to pay or accept, any money or valuable
consideration for the appearance of any person or the mention of anything on the Program
without disclosure to Producer and/or VMN or other broadcaster prior to broadcast is a federal
offense punishable by fine and/or imprisonment); (v) I shall not intentionally mention or “plug”
any commercial product, service, venture or thing on the Project, including the name of my
employer and I have not accepted or given, and will not accept or give, directly or indirectly, any
money, service or other valuable consideration from or to anyone for the inclusion of any matter
in the Project produced hereunder, except to the extent that the same shall be expressly approved
by Producer in writing in Producer’s sole discretion, and then only provided that the same shall
be disclosed, credited and/or identified in accordance with the requirements of Sections 317 and
508 of the U.S. Federal Communications Acts; (vi) except with respect to materials supplied by
Producer, neither the Material, the Rights, nor any portion thereof or any use thereof by
Producer, VMN, Assignee and/or their licensees or assigns, will violate or infringe upon the
trademark, trade name, copyright, right of privacy or publicity, property rights of any other right
of any party nor constitute unfair competition, defamation, libel or breach of contract, and I agree
to notify Producer if any third party controls rights in the Material or the Results; (vii) I will
cooperate with Producer and will take steps reasonably requested by Producer to evidence,
effectuate or protect Producer’s and VMN’s rights hereunder; (viii) if I display in the Project or
submit to Assignee for display in the Project any photographs, published works, and/or other
artistic materials, then I will have obtained all of the rights, clearances and releases necessary for
Assignee to exploit said materials in the Project; (ix) I will not bring nor will I permit my
acquaintances to bring any illegal drugs, weapons or other illicit items to the Locations nor will I
engage in or permit my acquaintances to engage in, any illegal activities; nor will I use, consume
or partake in any illegal drug usage or activity during the Production Period whether on the
Locations or elsewhere; (xi) if the Project contains any contest, I will not rig or in any way
influence the outcome of such contest, or to offer or accept any information or special or secret
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assistance in connection with the Project and I agree that I will not participate in any such act or
any other deceptive or dishonest act with respect to the Project; (xii) I agree to refrain at all times
from all forms of threats or violence against, nonconsensual contact with and/or intimidation of
other persons involved with the Project, other participants, and any employees, agents,
independent contractors, or other representatives of Producer and/or VMN; and (xiv) I agree not
to damage any property used or visited by me in connection with the Project, whether exterior or
interior, and any other furnishings, items or other things located in or around such property in
any way and I will not tamper with or hinder in any way the technical equipment that is installed
for purposes of recording me and the other participants, normal wear and tear excepted.
(b)
I represent and warrant that I have provided to Producer all identification
documentation and/or other information or documentation requested or required by Producer in
connection with Producer’s statutory record-keeping and identification verification obligations,
such information and documentation to include, without limitation: (a) my full legal name as
well as any and all previous names, aliases, stage names, professional names and/or nicknames
used by me or by which I may be currently or previously known or identified; (b) my current
address; (c) my date of birth; and (d) a legible photocopy of my valid government-issued
identification documentation (e.g. U.S. passport, state driver’s license or valid photo ID card),
and that all such information and documentation is valid, true and accurate as of the date
provided to Producer by me. I further represent and warrant that I have obtained and will
maintain at all times during which this Agreement is in effect, any and all passports, visas, work
permits, immigration clearances and all other clearances and permits necessary to enable me to
fulfill my obligations hereunder in the jurisdictions in which my participation is contemplated
(collectively, “Clearances”). Such Clearances shall be valid and effective during the period of
production of the Project in all such jurisdictions, and my obtaining and maintaining such
Clearances shall be a condition subsequent to Producer’s obligations hereunder.
(c)
Indemnification. I and the other Releasing Parties unconditionally and
irrevocably agree to defend, indemnify and hold harmless each of the Released Parties from and
against any and all claims, demands, liens, agreements, contracts, actions, suits, costs, attorneys’
fees, damages, judgments, orders and liabilities of any kind or nature in law, equity or otherwise,
by whomever asserted, arising out of or in connection with (a) my breach or alleged breach of
any agreement, covenant, representation, warranty in this Agreement (b) arising out of or in
connection with my participation and appearance in or elimination from the Project or activities
associated with the Project, including without limitation the Released Claims or (c) the
malfeasance and/or negligence and/or other tortious acts or omissions committed by me and/or
any agent, employees guest or invitee of mine. In the event of any claim or service of process
upon any of the Released Parties involving the indemnification set forth above, Producer or such
other of the Released Parties shall notify me of the claim. The Released Parties may elect to take
such action on behalf of itself and/or as attorney-in-fact for me to adjust, settle, defend or
otherwise dispose of such claim, in which case I shall, upon being billed therefor, reimburse each
of the applicable Released Parties in the amount thereof.
18.
Unions/Guilds. I acknowledge and understand that my appearance on the Project
does not fall under the jurisdiction of SAG, AFTRA or any other guild or union agreements. My
appearance and participation in any aspect of the Project is not a performance, and I am not
portraying any role or part or taking direction as a performer, but am appearing as myself. My

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appearance on the Project is as a non-performer only, is not employment as a performer, and
does not entitle me to wages, salary or other compensation under any collective bargaining
agreement or otherwise as such.
19.
Mediation/Arbitration. Except with respect to Producer’s right to injunctive relief
for breaches of the Agreement as contemplated herein, in the event of any dispute concerning the
performance or enforceability of this Agreement, and/or concerning the respective rights of the
parties hereto, such dispute shall be the subject of mandatory mediation and/or binding
arbitration pursuant to the terms of the separate “Agreement to Mediate and Arbitrate,”
attached hereto as Exhibit D and incorporated by this reference. I UNDERSTAND THAT
EXHIBIT D WAIVES MY RIGHT TO SUE PRODUCER, VMN, AND ANY OTHER
ASSIGNEE IN A COURT OF LAW AND REQUIRES ME TO ASSERT ANY CLAIMS
OR GRIEVANCES IN ARBITRATION. I KNOWINGLY AND VOLUNTARILY
WAIVE MY RIGHT TO A JURY TRIAL OR COURT TRIAL AND FREELY CONSENT
TO THE TERMS OF EXHIBIT D AS A MATERIAL TERM OF THIS AGREEMENT.
20.
Notices. All notices, statements and other communications given hereunder shall
be made in writing by, personal delivery or by mailing the same by certified mail, return receipt
requested, or by next day express delivery in a postpaid wrapper, addressed to the other as
aforesaid, and the date of such personal delivery, the next day if by express delivery, or the date
five (5) days after mailing by certified mail, return receipt requested shall be deemed the date on
which such notice is effective. All notices sent to either party shall be sent to said party’s
respective address first set forth above. Copies of all notices shall be sent by me to Producer at
World of Wonder Productions, Inc., 6650 Hollywood Blvd., Suite 400, Hollywood, California
90028, Business & Legal Affairs, and to MTV, 1515 Broadway New York, NY 10036, Attn:
Executive Vice President, Business Affairs and Legal Affairs and General Counsel.
21.

Miscellaneous.

(a)
Special Employee/Workers’ Compensation. Nothing herein contained
shall be deemed to constitute an employment relationship, joint venture or partnership between
me and Producer (or any other Assignee), nor shall I be deemed Producer’s agent for any
purpose. Notwithstanding the foregoing, I acknowledge and agree that solely for purposes of
workers’ compensation, the parties hereto acknowledge and agree (i) that there will be one or
more entities other than Producer receiving the benefits of, and/or participating in some capacity
in the direction and/or supervision of, my participation (and of the services of other individuals,
such as cast and/or crew members) in connection with the Project, including, without limitation,
Producer’s affiliated companies, licensees, successors and assigns, the financiers and distributors
of the Project, including, but not limited to, Producer and MTV Networks and their respective
officers, agents, and employees (each, a “Producer Entity”), and (ii) that each such Producer
Entity shall be deemed one of my “special employers” for purposes of workers’ compensation
insurance coverage in connection with my appearance in the Project under this Agreement.
Accordingly, in the event of my injury, illness, disability, or death arising out of or relating to the
Project and/or my appearance in the Project, my rights and remedies (and those of my heirs,
executors, administrators, successors and assigns) against Producer or any Producer Entity shall
be governed by and limited to those provided by workers’ compensation and Producer and/or
each Producer Entity and their agents and employees shall not have any other obligations or

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liability by reason of any such injury, illness, disability or death. If the applicability of any
worker’s compensation statutes my appearance is dependent upon (or may be affected by) an
election on my part and/or Producer’s or a Producer Entity’s, such election hereby is made in
favor of such application.
(b)
Taxes. I understand and agree that I shall be responsible for any and all
taxes required to be paid in connection with any payments made to me hereunder. I agree to
indemnify and hold harmless Producer and VMN for any and all damages and/or penalties
resulting from my failure to make appropriate tax payments in connection with any consideration
or benefits I may receive in connection with the Project, including, without limitation, any
payments made to me hereunder.
(c)
Entire Agreement. This Agreement contains the entire understanding
between the parties, and supersedes all prior negotiations, understandings and agreements
(whether written or oral) of the parties hereto relating to the subject matter herein, and this
Agreement cannot be changed or terminated except by a writing signed by both Producer and
me. I acknowledge that I have not relied upon any statement or representation, express or
implied, of any Assignee (or any employee or agent of any Assignee) other than as specifically
and explicitly set forth herein in agreeing to and entering into this Agreement.
(d)
Choice of Law. THIS AGREEMENT AND ALL RELATED MATTERS
SHALL BE GOVERNED BY THE LAWS OF THE STATE OF NEW YORK APPLICABLE
TO CONTRACTS EXECUTED AND PERFORMED ENTIRELY THEREIN, WITHOUT
REGARD TO THE CONFLICT OF LAW PRINCIPLES THEREOF, AND THE PARTIES
HEREBY CONSENT TO THE PERSONAL JURISDICTION OF ANY STATE OR FEDERAL
COURT LOCATED IN THE CITY OF NEW YORK AND THE STATE OF NEW YORK.
(e)
Assignment. I acknowledge that I shall have no right to assign this
Agreement or delegate any of my obligations hereunder to any third party. Producer shall have
the right to assign freely any of its rights and obligations hereunder.
(f)
Waiver. No waiver of any breach of or default under any provision hereof
shall be deemed a waiver of such provision, or of any subsequent breach or default.
(g)
Partial Invalidity. In the event that any provision hereof shall be invalid or
unenforceable due to any law, said provision shall be modified to the minimum extent necessary
to effect compliance with such law, and in any event such invalidity or unenforceability shall
have no effect upon the remaining terms and condition hereof.
(h)
Survival. The grant of rights, representations, warranties, indemnities,
restriction on use of trademarks, and confidentiality obligations contained herein shall survive
the expiration or earlier termination of this Agreement.
(i)
Headings. The section headings have been inserted herein for the purpose
of convenience only and shall not be used in interpreting this Agreement.

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22.

Acknowledgements.

(a)
I ACKNOWLEDGE AND UNDERSTAND THAT THIS
AGREEMENT IS AN IMPORTANT LEGAL DOCUMENT RELATING TO MY
PARTICIPATION IN THE PROJECT, AND BY SIGNING THIS DOCUMENT I AM
WAIVING CERTAIN LEGAL RIGHTS (AS SET FORTH HEREIN) I MAY HAVE
AGAINST THE PRODUCERS, VMN, THE ASSIGNEES AND OTHER INDIVIDUALS
AND ENTITIES. I DO SO FREELY AND UNDER NO DURESS OR UNDUE
INFLUENCE.
(b)
I understand that other participants and I (including my friends and
family) will be interviewed and will participate in activities with the intent that the participants
will discuss information that may be of a personal and/or revealing nature with respect to my life
(including without limitation personal and private aspects of my life), the life of other
participants, and the lives of non-participants. I further acknowledge and understand that the
nature of the Project is such that Producer, for dramatic purposes, may make certain
misrepresentations to me and others, which misrepresentations may relate to any and all topics of
every kind and nature whatsoever (including without in any way limiting the generality of the
foregoing the other participants). I acknowledge that, while such conduct might otherwise
constitute an actionable tort, I have freely and knowingly consented to such conduct. I further
acknowledge and understand that my participation in the Project may lead to emotional strains
and pressures on me, my friends, my co-workers and/or family, before, during and after my
participation in the Project. Accordingly, I understand that, in and in connection with the
Project, I may reveal and/or relate, and other parties (including, without limitation, other
participants, my friends, my family, the Producer and/or VMN), may reveal and/or relate
information about me of a personal, private, sexual, surprising, defamatory, disparaging,
embarrassing and/or unfavorable nature, that may be actual or fictional. I further understand that
my appearance, depiction and/or portrayal in the Project, and my actions and the actions of
others displayed in the Project, may be disparaging, embarrassing or of an otherwise unfavorable
nature and may expose me, my friends, my co-workers and/or family to public ridicule,
humiliation or condemnation. I am voluntarily participating in the Project and related activities
with full knowledge, appreciation and understanding of the personal risks involved and hereby
agree to accept any and all risks of participating in the Project. Producer understands and agrees
that it is responsible for obtaining all third party releases.
(c)
I further acknowledge and understand that the nature of my involvement
in the Project is documentary in nature and that, as in the course of my actual life, I cannot know
in advance of the precise situations that I may be in and I may not know the particular Events in
which I may be asked to participate, but that Producer may record any such situations and
include them in the Project.
(d)
I acknowledge that in granting the Rights, I have not been induced to do
so by any representations or assurances, whether written or oral, by Producer, VMN or any
Assignee’s representation relative to the manner in which the Rights may be exercised and I
agree that no Assignee is under any obligation to exercise any of the Rights and agree that I have
not received any promises or inducements other than as herein set forth. The provisions hereof
shall be binding upon be and my heirs, executors, administrators and successors. I have been

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given ample opportunity to read, and I have carefully read, this entire Agreement. I certify that I
have made such an investigation of the facts relating to this Agreement as I have deemed
necessary, that I fully understand the contents of this Agreement, that I am of sound mind, and
that I intend to be legally bound by this Agreement. The social security number furnished is my
true social security number.
(e)
I UNDERSTAND THAT I HAVE WAIVED MY RIGHT TO SUE
PRODUCER (OR, VMN, AND ANY OF ITS AFFILIATES) OR ANY OTHER
RELEASED PARTY IN A COURT OF LAW AND HAVE AGREED TO ADDRESS AND
ASSERT ANY AND ALL CLAIMS AND GRIEVANCES I NOW OR IN THE FUTURE
HAVE OR MAY HAVE AGAINST PRODUCER (OR ITS AFFILIATES) THROUGH
THE ALTERNATIVE METHOD(S) OF MEDIATION AND/OR IN ARBITRATION.
(f)
I ACKNOWLEDGE AND UNDERSTAND THAT THIS
AGREEMENT HAS BEEN PREPARED BY AN ATTORNEY AND THAT PRODUCER
HAS RECOMMENDED THAT I CONSULT WITH MY ATTORNEY IN CONNECTION
WITH THIS AGREEMENT. I REPRESENT AND WARRANT THAT I HAVE
REVIEWED THIS AGREEMENT WITH MY OWN LEGAL COUNSEL PRIOR TO
SIGNING (OR ALTHOUGH I HAVE BEEN GIVEN A REASONABLE OPPORTUNITY
TO DISCUSS THIS AGREEMENT WITH COUNSEL OF MY CHOICE, I HAVE
VOLUNTARILY DECLINED SUCH OPPORTUNITY).

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(g)
I ACKNOWLEDGE THAT, NOTWITHSTANDING ANY OTHER
PROVISION HEREIN, I MAY UNILATERALLY RESCIND THIS AGREEMENT
WITHIN THREE (3) BUSINESS DAYS OF THE DATE ON WHICH I SIGN THE
AGREEMENT. SUCH RESCISSION SHALL BE MADE ONLY BY WRITTEN NOTICE
RECEIVED BY PRODUCER WITHIN THE THREE-BUSINESS-DAY RESCISSION
PERIOD.
When signed by me and Producer where indicated below, the foregoing shall constitute a
binding and enforceable Agreement between us.
ACCEPTED AND AGREED:
Participant Name (Print)

WORLD OF WONDER PRODUCTIONS,
INC.
By:

(Signature)
Its:
[Date Originally Signed]
List All Prior Names, Aliases, Professional Stage Names, etc.:
Date of Birth:
Telephone:
Type of ID Checked:
Copy of ID Received: Yes __ No __ If not, give reason:
Picture ID: Legible photo copy of is attached (List form of identification, i.e. , state drivers
license, passport, photo ID card, etc.)
This information is being obtained and will be maintained solely for legally-mandated recordkeeping purposes.

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EXHIBIT A
“RuPaul’s Drag Race”
AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION
(TO BE GIVEN TO EACH OF APPLICANT’S PHYSICIANS)
To:

Date:
Doctor’s Name
Address
City

State Zip

I authorize you to disclose to the producers of the television series tentatively entitled “RuPaul’s
Drag Race” (the “Series”) and their representatives all information and records relating to my
health, including information or records regarding psychiatric and drug or alcohol use history. I
acknowledge that any information obtained by the producers of the Series may be used for
evaluation of my application to participate in the Series, for purposes of selecting contestants in
the Series, for quality assurance and peer review, and for any other purpose designated by the
Series. This authorization will remain valid for the term of my involvement in the production of
the Series. A photocopy of this authorization is as valid as the original.
Date:
Signed:
Print Name:
Regular Physician’s Name
Phone:
Emergency Contact Name:
Relationship:
Their Address:
City:
Phone: Daytime

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Area Code

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EXHIBIT B
“RuPaul’s Drag Race”
PRODUCTION PROTOCOL
PROTOCOLS APPLICABLE TO PARTICIPANTS:
1.
No drugs or illegal substances or use thereof will be tolerated at any time or place
during the entire production, on camera or off Penalty is immediate dismissal.
2.
No smoking on camera without Producer’s prior permission. No smoking by
minors under any circumstances.
3.
No still photography, sound or video recording by a Participant, or any invitee
(“Invitee”) of any Participant.
4.
No firearms or weapons of any sort are to be possessed or brought to any location
by any Participant or any Invitee at any time during production.
5.
No Participant shall speak to any member of the press or allow him or herself to
be interviewed by any person or entity unless otherwise approved by Producer in advance.
6.

No physical violence will be tolerated.

7.
Essential medications or medical supplies required by Participants must be
disclosed to Producer in advance of production.
8.
camera.

Participants who are not of legal drinking age may not consume alcohol, on or off

9.
Participants of legal drinking age may consume alcohol in a legal manner, but, if
Producer deems such consumption to be excessive or unruly, Producer reserves the right to take
necessary action to control the situation or disallow alcohol consumption to continue.
Participants must follow Producer’s legal directions and instructions when given.
10.
Participants may not negligently or willfully damage any location or any of the
personal property of Producer, VMN or any of the other Participants.
11.
Participants will be responsible for providing their own food, drink, clothing and
personal items.
12.

All Participants must abide by the rules outlined herein.

13.
Participants must obey all local, state and federal laws and regulations, and accept
full responsibility for their behavior and actions and will not be protected by Producer from any
violation of law.

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14.
Producer may, at any time and in its sole discretion, add, remove, or replace
Participants, including by way of example if it determines in its sole discretion, that Participant is
not mentally or physically fit to continue in the Program or if it determines that Participant is
disruptive to the production of the Program or any of the other Participants.
15.
Enforcement of the rules shall be at Producer’s sole discretion. Producer’s failure
to enforce the rules on one occasion, or in connection with a particular Participant, shall not
preclude Producer from enforcing the rules on another occasion or with respect to a different
Participant.
16.
Participants may be disqualified and ejected from the Project in the sole discretion
of Producer, including, without limitation, for any of the following reasons (as determined by
Producer in its sole discretion):
(a)

In the case of breach by Participant of any agreement with Producer.

(b)
In the case of any Participant causing harm to a location, him or herself,
any other Participant or any personal property of any other person or entity.
(c)

In the case of ill health or other health related matters.

(d)
In the case of withholding of any information or providing any false or
misleading information to Producer and/or any of its designees.
(e)

In the case of the impeding of the work of the production team.

(f)
In the case of willful misconduct or unlawful conduct (as determined by
Producer in its sole discretion), including but not limited to stealing or misappropriating
property, harming other Participants or crew members, acts of violence, etc.
(g)

Violating any rule relating to the Project or any instruction of Producer.

(h)
Attempting to cheat, rig or otherwise falsely, unfairly or illegally influence
or alter the outcome of the Project.
17.
Any Participant removed in any of these circumstances may be replaced at the
sole discretion of the Producer at any time by an alternate Participant.
18.
In Producer’s sole discretion, Participant may be transported from the location for
medical and other reasons without Participant’s prior approval. Any event or the production of
the Program may be delayed if necessary, as determined in the discretion of the Producer.
19.
Participants have the right, and the duty, to report to the Producer any breach of
safety, or any behavior or circumstances that they believe might endanger anyone on the
production, or the presence of any illegal drug that they believe to be unreported or undetected.
20.
Participant acknowledges that this is a competition and Participant will abide by
the decision of Producer, however, determined, regarding elimination of contestants on an

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episode by episode basis or otherwise. In addition, Producer will abide by Producer’s
requirements regarding the sequestering of contestants, if any, once they have been eliminated.
21.
Producer may modify or add to these rules at any time, whether in writing or
orally, and Participant shall be bound thereby.

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EXHIBIT C
RuPaul’s Drag Race”
EMERGENCY MEDICAL RELEASE
Return Completed Form To:

World of Wonder Productions, Inc.
6650 Hollywood Blvd., Suite 400
Hollywood, California 90028
Attn: Business & Legal Affairs

IN CASE OF EMERGENCY, I, by signing below, authorize Producer, any of its subsidiary
corporations or affiliates, and any of their employees, representatives, and contractors to arrange
for or provide such medical and/or psychological assistance to me as they determine to be
necessary.
I also authorize any licensed physician, psychologist, therapist and/or medical facility to provide
any medical/surgical care and/or hospitalization to me, including anesthetics, which they
determine necessary or advisable, pending receipt of a specific consent from me. I authorize any
reasonably necessary care by the paramedics.
DATE:

SIGNED:
Print Name:
SIGNED (Legal Guardian):
Print Name:

Emergency Contact Name:
Relationship:
Their Address:
City:
Phone: Daytime

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Area Code

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EXHIBIT D
“RuPaul’s Drag Race”
AGREEMENT TO MEDIATE AND ARBITRATE
All claims, controversies or disputes arising out of, in connection with, or relating to this
Agreement, the performance or breach thereof or default hereunder, whether based on contract,
tort, or statute, including without limitation any claim that this Agreement was induced by fraud
(the “Covered Claims”) shall be resolved by mediation and, if necessary, binding arbitration in
New York, New York in accordance with the following terms and conditions:.
a.
Mediation. The mediation provided for in this section shall be conducted in
accordance with the Commercial Mediation Rules of the American Arbitration Association
(“AAA”). Either party may initiate mediation by filing a request for mediation with the New
York, New York office of AAA, with a copy served on the other party. The entire mediation
proceeding, including without limitation the existence of the mediation proceeding, shall be
deemed to be confidential, and no transcript or other permanent record of the meetings shall be
made or kept, except for a settlement agreement if the parties desire it to be stenographically
recorded. Neither the attorney-client nor work product privilege shall be deemed to have been
waived by any statement or disclosure made in the proceedings. Nothing written or stated orally
during the proceedings shall be subject to discovery or be admissible for any purpose, including
impeachment, or even be referred to in any manner, in any action or other proceeding between
the parties. If the parties have not settled within 15 calendar days, or such longer period as they
may agree upon, after the appointment of the mediator, or earlier if the mediator finds that there
is no reasonable possibility of settlement, either party may commence an arbitration in
accordance with the procedures set forth below.
b.

Arbitration.
1.

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Commencement of Arbitration.
(a)

Arbitration Procedure. Except as otherwise provided herein, the
arbitrators shall administer the arbitration proceedings in
accordance with the Commercial Arbitration Rules of the
American Arbitration Association (“AAA”) then in effect. If any
conflict exists between the procedures set forth herein and the
Rules of the AAA, the procedures set forth herein shall be
followed.

(b)

Notice of Arbitration. The initiating party must serve a written
notice of intention to arbitrate (the “Notice of Arbitration”) on the
respondent, and shall file a copy with the Los Angeles office of the
AAA, along with the required fee.

(c)

Selection of Arbitrator. Within ten (10) days of service of the
Notice of Arbitration on the respondent, each party shall select aDocuSign Envelope ID: 

party arbitrator and shall serve and file a notice of appointment.
Within ten (10) days thereafter, the party arbitrators shall confer
and select a neutral arbitrator. No person may serve as a neutral or
party arbitrator unless he or she is either a retired state or federal
judge, or a practicing lawyer with at least twenty (20) years of
experience, including at least ten (10) years of experience in
entertainment law. The Covered Claim(s) shall be heard by all
three (3) arbitrators, i.e., the neutral arbitrator and the two party
arbitrators (collectively, “Arbitrators”), and all procedural matters
and the final decision and award shall be decided by a majority of
them.
(d)

Failure to Designate Party Arbitrator. If a party fails to
designate a party arbitrator within ten (10) days of service of the
Notice of Arbitration on the respondent, then the sole party
arbitrator shall select a neutral arbitrator, who alone shall hear and
decide the Covered Claim(s). Any award rendered under such
circumstances will be as valid and enforceable as one rendered by
a three-arbitrator panel.

(e)

Failure to Designate Neutral Arbitrator. If the party arbitrators
cannot agree on a neutral arbitrator, then the AAA shall select a
neutral arbitrator, who shall meet the qualifications set forth in
Section 1(c) hereof and shall conduct the arbitration along with the
party arbitrators.

(f)

Arbitration Schedule. Within ten (10) days of the selection of the
neutral arbitrator, the Arbitrators shall confer with the parties to set
the arbitration schedule. Except for good cause, the arbitration
hearing shall be within ninety (90) days of the selection of the
neutral arbitrator.

2.
Discovery. Discovery will be handled expeditiously, according to the
following terms and conditions:

NY1252696.4
095477-10056

(a)

Depositions. Each party shall be limited to five (5) depositions.
Each corporate designee shall count as a separate deposition for
purposes of this limit

(b)

Documents. Each party shall be entitled to limited document
discovery. Only documents that are directly relevant to the
disputed issues and refer or relate directly to the Project which is
the subject of this Agreement may be requested. Any document
request shall be narrowly tailored to cause the least possible
expense, burden, disclosure of confidential information and
inconvenience to the parties on which they are served. If financial
data is sought, only documents sufficient to establish the contested

33DocuSign Envelope ID: 

issue shall be required to be produced. The schedule for
propounding and responding to document requests shall be
determined by the Arbitrators. Should disagreement arise with
respect to the scope of any document request, the Arbitrators shall
resolve such disagreement, in conformity with this Agreement.
(c)

Written Interrogatories. Each party shall be limited to ten (10)
written interrogatories, without subparts. The schedule for
propounding and responding to interrogatories shall be determined
by the Arbitrators.

(d)

Requests for Admission. The parties agree that no requests for
admission shall be propounded by any party.

(e)

Subpoenas. The parties agree that the Arbitrators shall, to the
fullest extent permitted by law, have the power to issue subpoenas
to third parties to compel testimony at the arbitration hearing or the
production of documents prior to or at the arbitration hearing,
subject to the same limitations on document discovery set forth in
Section 2(b) hereof.

3.
Dispositive Motions. The Arbitrators shall have the discretion to hear and
determine at any time prior to the arbitration hearing any issue of law asserted by any party to be
dispositive of any claim, in whole or in part, in accordance with such procedure as the
Arbitrators may deem appropriate.
4.
Hearing Memoranda. Pre-hearing memoranda shall be permitted at the
discretion of the Arbitrators. Each party shall be permitted to submit a post-hearing
memorandum within fifteen (15) days following the completion of the arbitration hearing.
Rebuttal memoranda, if any, shall be submitted twenty-one (21) days following the completion
of the arbitration hearing.
5.
Witness Lists. Ten (10) days before the arbitration hearing, each party
shall serve a witness list identifying (name, address, occupation, work experience, and
relationship to party, if any) each witness on its direct case and describing the subject matter and
substance of that witness’s anticipated testimony.
6.
Arbitration Hearing. During the arbitration hearing, the Arbitrators shall
hear the oral testimony and cross-examination of each party’s witnesses. Rebuttal witnesses may
be heard to directly refute the testimony of any such witness. A full stenographic record shall be
taken of these proceedings, and the Federal Rules of Evidence shall apply, except that hearsay
may be admitted at the discretion of the Arbitrators.
7.
Governing Law. The Arbitrators’ decision shall be made pursuant to the
substantive law of the State of New York without regard to its choice of law rules.
8.
Written Decision and Award. The Arbitrators shall issue an written
Decision and Award within forty-five (45) days of the submission of the final, post-hearing
NY1252696.4
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34DocuSign Envelope ID: 

memoranda. This Decision and Award shall be signed and dated by the Arbitrators and shall set
forth the Arbitrators’ reasoning in support of each issue necessary to their decision.
9.
Remedies. Except as expressly limited herein, the Arbitrator(s) shall have
the power to grant any remedy or relief they deem just and equitable. Notwithstanding the
foregoing, the Arbitrators shall not have the power to award punitive or exemplary damages of
any kind, and any limitation on the availability of injunctive relief contained in this Agreement
shall be binding on the Arbitrators.
10.
Fees, Costs and Attorneys’ Fees. The parties agree to pay the fees and
costs of the arbitration relating to their designated party arbitrator. All fees and costs relating to
the neutral arbitrator will be paid by the parties in equal shares, except that the Arbitrators may
award such fees and costs to the prevailing party. Each party’s attorneys’ fees and costs shall be
borne by that party, except that if the Arbitrators determine a party’s position on the Covered
Claim(s) to be without substantial justification, they shall award attorneys’ fees and costs to the
other party.
11.
Final and Binding. The parties agree that the Decision and Award shall
be final and binding. The parties further agree that no appeal shall be taken therefrom.
12.
Enforcement of Arbitrators’ Award. Following the issuance of the
Arbitrators’ Decision and Award, either party may petition any court of competent jurisdiction in
New York County to confirm the Decision and Award.
13.
Emergency Relief. Applications for emergency relief made prior to the
appointment of the neutral arbitrator shall be made in accordance with the AAA’s Optional Rules
for Emergency Measures of Protection.
14.
Confidentiality. All aspects of the arbitration proceedings, including but
not limited to the fact that the arbitration is being conducted, any testimony, all documents, and
the culminating Decision and Award, shall be completely confidential and shall not be disclosed
to any third parties except the arbitrators and their staff, the parties’ attorneys and their staff, any
experts retained by the parties, and as required by law. For purposes of any judicial proceedings
on the Decision and Award, including without limitation confirmation proceedings, the parties
stipulate and agree to request a court order or orders requiring that all records of the arbitration
proceedings, including without limitation the Decision and Award and all court filings disclosing
any aspect of the arbitration proceedings (“Confidential Records”), be filed under seal. Pending
a ruling on any such request, the parties agree to file all Confidential Records conditionally under
seal.

NY1252696.4
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35DocuSign Envelope ID: 

EXHIBIT E
“RUPAUL’S DRAG RACE” (THE “PROGRAM”)
ASSUMPTION OF RISK AND RELEASE OF LIABILITY
I UNDERSTAND THAT DURING THE PRODUCTION OF THE PROGRAM I WILL BE
RESIDING IN CLOSE QUARTERS WITH OTHER PARTICIPANTS IN THE PROGRAM. I
UNDERSTAND THAT WORLD OF WONDER PRODUCTIONS, INC. (“PRODUCER”) IS
REQUIRING ALL PARTICIPANTS TO BE MEDICALLY TESTED. HOWEVER, I
UNDERSTAND AND AGREE THAT PRODUCER HAS NOT AND WILL NOT
NECESSARILY TEST EACH OF THE CONTESTANTS FOR ALL SEXUALLY
TRANSMITTED OR OTHERWISE COMMUNICABLE DISEASES OR OTHER
CONDITIONS AND THAT PRODUCER MAY NOT TEST FOR MANY OTHER SERIOUS
AND POTENTIAL LIFE-THREATENING DISEASES OR CONDITIONS THAT ARE NOT
COMMONLY CONSIDERED TO BE SEXUALLY TRANSMITTED DISEASES.
SPECIFICALLY, I ACKNOWLEDGE AND UNDERSTAND THAT ALTHOUGH I MAY
HAVE BEEN TESTED FOR CERTAIN SEXUALLY TRANSMITTED AND/OR
COMMUNICABLE DISEASES OR CONDITIONS, OTHER PARTICIPANTS MAY
NOT HAVE BEEN TESTED FOR THE SAME SEXUALLY TRANSMITTED AND/OR
COMMUNICABLE DISEASES OR CONDITIONS, OR MAY HAVE TESTED
POSITIVE FOR THESE OR OTHER SEXUALLY TRANSMITTED AND/OR OTHER
COMMUNICABLE DISEASES OR CONDITIONS. I FURTHER UNDERSTAND AND
AGREE THAT NO MEDICAL TEST DETECTS ALL SEXUALLY TRANSMITTED OR
OTHERWISE COMMUNICABLE DISEASES OR CONDITIONS OR IS ENTIRELY
ACCURATE, AND PRODUCER MAY ELECT TO ALLOW INDIVIDUALS TO
PARTICIPATE IN THE PROGRAM WHO TEST POSITIVE FOR ONE OR MORE
SEXUALLY TRANSMITTED OR OTHERWISE COMMUNICABLE DISEASES OR
CONDITIONS AND HAS NO OBLIGATION TO INFORM ME OF SUCH CONDITIONS.
I RECOGNIZE AND ACKNOWLEDGE THAT FOR THESE OR ANY OTHER
REASONS PARTICIPANTS MAY IN FACT HAVE ONE OR MORE SEXUALLY
TRANSMITTED DISEASES OR OTHERWISE COMMUNICABLE DISEASES OR
CONDITIONS AND I CONSENT TO PRODUCER ALLOWING INDIVIDUALS TO
PARTICIPATE IN THE PROGRAM WHO MAY BE INFECTED WITH SUCH
SEXUALLY TRANSMITTED OR OTHERWISE COMMUNICABLE DISEASES OR
CONDITIONS.

NY1252696.4
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36DocuSign Envelope ID: 

I KNOWINGLY AND VOLUNTARILY ASSUME ALL RISKS OF INTERACTING
WITH THE OTHER PARTICIPANTS, INCLUDING ANY CONSENSUAL INTIMATE,
SEXUAL OR OTHER CONTACT THAT I MAY ENTER INTO. MY RELEASE OF
LIABILITY SPECIFICALLY INCLUDES RELEASE OF LIABILITY FOR ANY
DISEASE OR CONDITION THAT I MAY CONTRACT FROM ANOTHER
PARTICIPANT, OR ANY THIRD PARTY.
Date:
Signed:

NY1252696.4
095477-10056

Print Name:

37DocuSign Envelope ID: 

ATTENTION
PLEASE BE AWARE THE
NEXT DOCUMENT YOU
WILL BE SIGNING IS A
BACKGROUND CHECK
AUTHORIZATIONDocuSign Envelope ID: 

Disclosure/Authorization – PARTICIPANT (STD)
RUPAUL’S DRAG RACE (SEASON 8) – 2015
AUTHORIZATION
I hereby certify that I have carefully read this Background Authorization and Disclosures/State Specific
Notices. I certify all statements made in this Authorization form are true and complete. After carefully
reading the accompanying Background Investigation Disclosure and this Authorization form, I authorize
WORLD OF WONDER and a VIACOM INTERNATIONAL INC. entity, affiliate, insurance broker, and/or
subsidiary (all hereafter referred to as “RECIPIENTS”) to order my Background Investigation report from
EDWARD MYERS & ASSOCIATES, INC. I understand that RECIPIENTS may rely on this authorization to
order additional Background Investigation reports during and throughout my relationship with RECIPIENTS
without asking me for my authorization again. I also authorize the following agencies and entities to
disclose to EDWARD MYERS & ASSOCIATES, INC. and its agents all information about or concerning me
solely as it is relevant to the scope of background investigation described as follows – identity
verification, county and federal level criminal and civil matters, sex offender registration,
professional licenses, education, employment, reference checks, media/internet and mvr history including but not limited to: all employers; colleges and universities; law enforcement; federal, state, and
local agencies; federal, state, and local courts; the military; motor vehicle records agencies; all other private
and public sector repositories of information; and, any other person, organization, or agency with any
information about or concerning me relevant to the stated scope of inquiry. I also authorize RECIPIENTS
and EDWARD MYERS & ASSOCIATES, INC. to share the background investigation report with its agents
for the purpose of obtaining information to provide to RECIPIENTS.
Full Legal Name (Print):
(First Name)

(Middle Name)

(Last Name)

Other First or Last Names (Former, stage names etc.):
Approx Dates Other Names Used?
Email Address:

Best Phone Number: (

)

-

Current Mailing Address:
(Number)

(Street Name)

(City)

(St, Blvd, Rd)

(State)

Date of Birth (ID purposes):

(Zip Code)

Social Security Number:
(Month/Date/Year)

Driver License #:
Signature:

State:

(Apt. #)

Country (If Not U.S.):
Today’s Date:

CONFIDENTIAL PROPRIETARY MATERIAL
Page 1DocuSign Envelope ID: 

Disclosure/Authorization – PARTICIPANT (STD)
RUPAUL’S DRAG RACE (SEASON 8) – 2015

THE FOLLOWING DOCUMENTS
ARE LEGAL DISCLOSURES FOR
YOUR RECORDS.
PLEASE READ THESE
CAREFULLY BEORE SIGNING
THE PRECEDING
AUTHORIZATION.
DO NOT RETURN THESE WITH
YOUR AUTHORIZATION. KEEP
THEM FOR YOUR RECORDS.

CONFIDENTIAL PROPRIETARY MATERIAL
Page 2DocuSign Envelope ID: 

Disclosure/Authorization – PARTICIPANT (STD)
RUPAUL’S DRAG RACE (SEASON 8) – 2015
BACKGROUND INVESTIGATION DISCLOSURES
I understand I have applied to provide services for a project being produced by WORLD OF WONDER and
currently intended for exhibition on a VIACOM INTERNATIONAL INC. entity, affiliate, and/or subsidiary, all
hereafter referred to as “RECIPIENTS.” I understand RECIPIENTS will obtain a background investigation
report about me – legally entitled a “consumer report” - from and prepared by EDWARD MYERS &
ASSOCIATES, INC. I further understand EDWARD MYERS & ASSOCIATES, INC. may not give out
information about me to RECIPIENTS without my written consent. EDWARD MYERS & ASSOCIATES,
INC. is located at 11271 Ventura Boulevard, Suite 415, Studio City, CA 91604 and can be reached at 1888-885-3023. EDWARD MYERS & ASSOCIATES company website is at www.myersassociates.net.
I understand the specific scope of the investigation that will yield my consumer report is as follows: identity
verification, county and federal level criminal and civil matters, sex offender registration,
professional licenses, education, employment, reference checks, media/internet and mvr history.
I understand I may request more information about the nature, scope and substance of any background
investigation reports by telephoning EDWARD MYERS & ASSOCIATES, INC. at 1-888-885-3023. It is
understood that this disclosure of additional information shall be made in writing, mailed, or otherwise
delivered to me not later than five (5) days after the date on which the request for such disclosure was
received from me or such report was first requested, whichever is later in time. A summary of my rights
under the FCRA is also being provided to me with this form.
STATE SPECIFIC NOTICES
If you live in the states listed below, please note the following:
CALIFORNIA: You may view the file that EDWARD MYERS & ASSOCIATES, INC. has for you, and order
a copy of the file, upon submitting proper identification and paying copying costs, by coming to a
designated location, during normal business hours and on reasonable notice, or by making a request by
mail. You may also ask for a file-summary by telephone. EDWARD MYERS & ASSOCIATES, INC. can
answer questions about information in your file that is not self-explanatory, including any coded information.
If you come to a location designated by EDWARD MYERS & ASSOCIATES, INC. in person, another
person can join you, so long as that person can show proper identification. See additional information
below.
A SUMMARY OF YOUR RIGHTS UNDER CALIFORNIA CIVIL CODE SECTION 1786.22
(a) An investigative consumer reporting agency shall supply files and information required under
Section 1786.10 during normal business hours and on reasonable notice.
(b) Files maintained on a consumer shall be made available for the consumer’s visual inspection, as
follows:
(1) In person, if he or she appears in person and furnishes proper identification. A copy of his or
her file shall also be available to the consumer for a fee not to exceed the actual costs of
duplication services provided.
(2) By certified mail, if he or she makes a written request, with proper identification, for copies to
be sent to a specified addressee. Investigative consumer reporting agencies complying with
requests for certified mailings under this section shall not be liable for disclosures to third parties
caused by mishandling of mail after such mailings leave the investigative consumer reporting
agencies.
(3) A summary of all information contained in files on a consumer and required to be provided by
Section 1786.10 shall be provided by telephone, if the consumer has made a written request,
with proper identification for telephone disclosure, and the toll charge, if any, for the telephone
call is prepaid by or charged directly to the consumer.

CONFIDENTIAL PROPRIETARY MATERIAL
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Disclosure/Authorization – PARTICIPANT (STD)
RUPAUL’S DRAG RACE (SEASON 8) – 2015
(c) The term “proper identification” as used in subdivision (b) shall mean that information generally
deemed sufficient to identify a person. Such information includes documents such as a valid driver’s
license, social security account number, military identification card, and credit cards. Only if the
consumer is unable to reasonably identify himself or herself with the information described above,
may an investigative consumer reporting agency require additional information concerning the
consumer’s employment and personal or family history in order to verify his or her identity.
(d) The investigative consumer reporting agency shall provide trained personnel to explain to the
consumer any information furnished him or her pursuant to Section 1786.10.
(e) The investigative consumer reporting agency shall provide a written explanation of any coded
information contained in files maintained on a consumer. This written explanation shall be distributed
whenever a file is provided to a consumer for visual inspection as required under Section 1786.22.
(f) The consumer shall be permitted to be accompanied by one other person of his or her choosing,
who shall furnish reasonable identification. An investigative consumer reporting agency may require
the consumer to furnish a written statement granting permission to the consumer reporting agency to
discuss the consumer’s file in such person’s presence.
MAINE: If you ask RECIPIENT, you have the right to know whether they ordered an investigative
consumer report on you. You may request the name, address, and telephone number of the nearest office
for EDWARD MYERS & ASSOCIATES, INC. that RECIPIENT ordered the report from. You will get this
information within 5 business days of RECIPIENT’S receipt of your request. You also have the right to ask
EDWARD MYERS & ASSOCIATES, INC. for a copy of any report generated and to promptly receive the
copy from EDWARD MYERS & ASSOCIATES, INC.
MASSACHUSETTS: If you ask, you have the right to a copy of any investigative consumer report
RECIPIENT has ordered. You may contact EDWARD MYERS & ASSOCIATES, INC. to request a copy of
it.
MINNESOTA: You have the right in most circumstances to submit a written request to EDWARD MYERS
& ASSOCIATES, INC. for a complete and accurate disclosure of the nature and scope of any consumer
report the RECIPIENT ordered about you. EDWARD MYERS & ASSOCIATES, INC. will provide you with
this disclosure within 5 business days after its receipt of your request or the report was requested by the
RECIPIENT, whichever is later.
NEW JERSEY: If an investigative report is obtained, the precise nature and scope of the investigation will
consist of: identity verification, county and federal level criminal and civil matters, sex offender
registration, professional licenses, education, employment, reference checks, media/internet and
mvr history. You have the right to submit a request to EDWARD MYERS & ASSOCIATES, INC. for a
copy of any investigative consumer report the RECIPIENT ordered about you.
NEW YORK: If you submit a request to RECIPIENT in writing, you have the right to know whether
RECIPIENT ordered a consumer report or investigative consumer report on you from EDWARD MYERS &
ASSOCIATES, INC. Shown above is the address and telephone number for EDWARD MYERS &
ASSOCIATES, INC. You may inspect and order a copy of the report by contacting EDWARD MYERS &
ASSOCIATES, INC.
NEW YORK CORRECTION LAW ARTICLE 23-A: LICENSURE AND EMPLOYMENT OF
PERSONS PREVIOUSLY CONVICTED OF ONE OR MORE CRIMINAL OFFENSES

CONFIDENTIAL PROPRIETARY MATERIAL
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Disclosure/Authorization – PARTICIPANT (STD)
RUPAUL’S DRAG RACE (SEASON 8) – 2015
§750. Definitions. For the purposes of this article, the following terms shall have the following meanings:
(1) "Public agency" means the state or any local subdivision thereof, or any state or local department,
agency, board or commission. (2) "Private employer" means any person, company, corporation, labor
organization or association which employs ten or more persons. (3) "Direct relationship" means that the
nature of criminal conduct for which the person was convicted has a direct bearing on his fitness or ability
to perform one or more of the duties or responsibilities necessarily related to the license, opportunity, or job
in question. (4) "License" means any certificate, license, permit or grant of permission required by the laws
of this state, its political subdivisions or instrumentalities as a condition for the lawful practice of any
occupation, employment, trade, vocation, business, or profession. Provided, however, that "license" shall
not, for the purposes of this article, include any license or permit to own, possess, carry, or fire any
explosive, pistol, handgun, rifle, shotgun, or other firearm. (5) "Employment" means any occupation,
vocation or employment, or any form of vocational or educational training. Provided, however, that
"employment" shall not, for the purposes of this article, include membership in any law enforcement
agency.
§751. Applicability. The provisions of this article shall apply to any application by any person for a license
or employment at any public or private employer, who has previously been convicted of one or more
criminal offenses in this state or in any other jurisdiction, and to any license or employment held by any
person whose conviction of one or more criminal offenses in this state or in any other jurisdiction preceded
such employment or granting of a license, except where a mandatory forfeiture, disability or bar to
employment is imposed by law, and has not been removed by an executive pardon, certificate of relief from
disabilities or certificate of good conduct. Nothing in this article shall be construed to affect any right an
employer may have with respect to an intentional misrepresentation in connection with an application for
employment made by a prospective employee or previously made by a current employee.
§752. Unfair discrimination against persons previously convicted of one or more criminal offenses
prohibited. No application for any license or employment, and no employment or license held by an
individual, to which the provisions of this article are applicable, shall be denied or acted upon adversely by
reason of the individual's having been previously convicted of one or more criminal offenses, or by reason
of a finding of lack of "good moral character" when such finding is based upon the fact that the individual
has previously been convicted of one or more criminal offenses, unless: (1) There is a direct relationship
between one or more of the previous criminal offenses and the specific license or employment sought or
held by the individual; or (2) the issuance or continuation of the license or the granting or continuation of
the employment would involve an unreasonable risk to property or to the safety or welfare of specific
individuals or the general public.§753. Factors to be considered concerning a previous criminal
conviction; presumption. 1. In making a determination pursuant to section seven hundred fifty-two of this
chapter, the public agency or private employer shall consider the following factors: (a) The public policy of
this state, as expressed in this act, to encourage the licensure and employment of persons previously
convicted of one or more criminal offenses. (b) The specific duties and responsibilities necessarily related
to the license or employment sought or held by the person. (c) The bearing, if any, the criminal offense or
offenses for which the person was previously convicted will have on his fitness or ability to perform one or
more such duties or responsibilities. (d) The time which has elapsed since the occurrence of the criminal
offense or offenses. (e) The age of the person at the time of occurrence of the criminal offense or offenses.
(f) The seriousness of the offense or offenses. (g) Any information produced by the person, or produced on
his behalf, in regard to his rehabilitation and good conduct. (h) The legitimate interest of the public agency
or private employer in protecting property, and the safety and welfare of specific individuals or the general
public. 2. In making a determination pursuant to section seven hundred fifty-two of this chapter, the public
agency or private employer shall also give consideration to a certificate of relief from disabilities or a
certificate of good conduct issued to the applicant, which certificate shall create a presumption of
rehabilitation in regard to the offense or offenses specified therein.
§754. Written statement upon denial of license or employment. At the request of any person previously
convicted of one or more criminal offenses who has been denied a license or employment, a public agency
or private employer shall provide, within thirty days of a request, a written statement setting forth the
reasons for such denial.

CONFIDENTIAL PROPRIETARY MATERIAL
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Disclosure/Authorization – PARTICIPANT (STD)
RUPAUL’S DRAG RACE (SEASON 8) – 2015
§755. Enforcement. 1. In relation to actions by public agencies, the provisions of this article shall be
enforceable by a proceeding brought pursuant to article seventy-eight of the civil practice law and rules. 2.
In relation to actions by private employers, the provisions of this article shall be enforceable by the division
of human rights pursuant to the powers and procedures set forth in article fifteen of the executive law, and,
concurrently, by the New York city commission on human rights.
WASHINGTON STATE: If you submit a request in writing, you have a right to get from RECIPIENT a
complete and accurate disclosure of the nature and scope of the investigative consumer report they
ordered. You are entitled to this disclosure within 5 business days after the date your request is received
or the RECIPIENT ordered the report, whichever is later. You also have the right to ask EDWARD MYERS
& ASSOCIATES, INC. for a written summary of your rights under the Washington Fair Credit Reporting Act.
A Summary of Your Rights Under the Washington Fair Credit Reporting Act Pertaining to Consumer
Reports Obtained for Employment Purposes: Chapter 19.182 RCW. The following outlines particular rights
provided to you by the Washington law with respect to consumer reports obtained for employment purposes.
Employers may not obtain a consumer report for employment purposes that bears on the
individual’s credit worthiness, credit standing or credit capacity unless the reasons for obtaining
the report are either “substantially job related” or “required by law.” For a person to obtain a
consumer report for employment, where any information contained in the report bears on the consumer’s
credit worthiness, credit standing, or credit capacity, the information must be either substantially job
related or required by law. Where the information is substantially job related the employer must disclose
its reasons for the use of such information in writing to the consumer.
Before an employer obtains a consumer report on a job applicant, the applicant must be informed
or must authorize the report. Before an employer may obtain a consumer report for employment
purposes on a job applicant, the applicant must either receive a written disclosure that a consumer report
may be obtained for purposes of considering the applicant for employment, or the applicant must authorize
the procurement of the report.
Before an employer takes an adverse employment action against a job applicant or employee
based on a consumer report, the employer must provide the following information: The name,
address, and telephone number of the reporting agency furnishing the consumer report; and a description
of the applicant’s or employee’s rights under Washington law pertaining to consumer reports obtained for
employment purposes (this summary is a description of those rights).
Applicants and employees must be given a reasonable opportunity to respond to information in a
consumer report that is disputed before an adverse employment action is taken. Before taking an
adverse employment action based on information in a consumer report, an employer must give the
applicant or employee a reasonable opportunity to respond to any information in the report that is
disputed.
Applicants and employees have the right to receive written notification of final adverse
employment action taken against them based on a consumer report. Applicants and employees have
the right to receive written notification of any final adverse employment action taken against them that is
based on information in a consumer report.
Current employees must be notified that consumer reports may be used for employment purposes.
In most cases, before an employer may obtain a consumer report for employment purposes on a current
employee the employee must have received written notice from the employer, at any time after the person
becomes an employee, that consumer reports may be used for employment purposes. This requirement
does not apply with respect to a consumer report on a current employee whom the Company has
reasonable cause to believe has engaged in specific activity that constitutes a violation of the law.

CONFIDENTIAL PROPRIETARY MATERIAL
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Disclosure/Authorization – PARTICIPANT (STD)
RUPAUL’S DRAG RACE (SEASON 8) – 2015

Para información en español, visite www.consumerfinance.gov/learnmore o escribe a la
Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, D.C. 20552.
A Summary of Your Rights Under the Fair Credit Reporting Act
The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy
of information in the files of consumer reporting agencies. There are many types of
consumer reporting agencies, including credit bureaus and specialty agencies (such as
agencies that sell information about check writing histories, medical records, and rental
history records). Here is a summary of your major rights under the FCRA. For more
information,
including
information
about
additional
rights,
go
to
www.consumerfinance.gov/learnmore or write to: Consumer Financial Protection
Bureau, 1700 G Street N.W., Washington, DC 20552.
You must be told if information in your file has been used against you. Anyone who
uses a credit report or another type of consumer report to deny your application for credit,
insurance, or employment – or to take another adverse action against you – must tell you,
and must give you the name, address, and phone number of the agency that provided the
information.
You have the right to know what is in your file. You may request and obtain all the
information about you in the files of a consumer reporting agency (your “file disclosure”).
You will be required to provide proper identification, which may include your Social
Security number. In many cases, the disclosure will be free. You are entitled to a free file
disclosure if:
a person has taken adverse action against you because of information in your credit
report;
you are the victim of identity theft and place a fraud alert in your file;
your file contains inaccurate information as a result of fraud;
you are on public assistance;
you are unemployed but expect to apply for employment within 60 days.
In addition, all consumers are entitled to one free disclosure every 12 months upon request
from each nationwide credit bureau and from nationwide specialty consumer reporting
agencies. See www.consumerfinance.gov/learnmore for additional information.
You have the right to ask for a credit score. Credit scores are numerical summaries of
your credit-worthiness based on information from credit bureaus. You may request a credit
score from consumer reporting agencies that create scores or distribute scores used in
residential real property loans, but you will have to pay for it. In some mortgage
transactions, you will receive credit score information for free from the mortgage lender.
You have the right to dispute incomplete or inaccurate information. If you identify
information in your file that is incomplete or inaccurate, and report it to the consumer
reporting agency, the agency must investigate unless your dispute is frivolous. See
www.consumerfinance.gov/learnmore for an explanation of dispute procedures.
Consumer reporting agencies must correct or delete inaccurate, incomplete, or
unverifiable information. Inaccurate, incomplete or unverifiable information must be
removed or corrected, usually within 30 days. However, a consumer reporting agency may
continue to report information it has verified as accurate.
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RUPAUL’S DRAG RACE (SEASON 8) – 2015

Consumer reporting agencies may not report outdated negative information. In most
cases, a consumer reporting agency may not report negative information that is more than
seven years old, or bankruptcies that are more than 10 years old.
Access to your file is limited. A consumer reporting agency may provide information
about you only to people with a valid need -- usually to consider an application with a
creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a
valid need for access.
You must give your consent for reports to be provided to employers. A consumer
reporting agency may not give out information about you to your employer, or a potential
employer, without your written consent given to the employer. Written consent generally is
not required in the trucking industry.
For more information, go to
www.consumerfinance.gov/learnmore.
You may limit “prescreened” offers of credit and insurance you get based on
information in your credit report. Unsolicited “prescreened” offers for credit and
insurance must include a toll-free phone number you can call if you choose to remove your
name and address from the lists these offers are based on. You may opt out with the
nationwide credit bureaus at 1-888-5-OPTOUT (1-888-567-8688).
You may seek damages from violators. If a consumer reporting agency, or, in some
cases, a user of consumer reports or a furnisher of information to a consumer reporting
agency violates the FCRA, you may be able to sue in state or federal court.
Identity theft victims and active duty military personnel have additional rights. For
more information, visit www.consumerfinance.gov/learnmore.
States may enforce the FCRA, and many states have their own consumer reporting laws.
In some cases, you may have more rights under state law. For more information, contact
your state or local consumer protection agency or your state Attorney General. For
information about your federal rights, contact:
TYPE OF BUSINESS
1.a. Banks, savings associations, and credit unions with total assets of over $10
billion and their affiliates.
b. Such affiliates that are not banks, savings associations, or credit unions also
should list, in addition to the CFPB:
2. To the extent not included in item 1 above:
a. National banks, federal savings associations, and federal branches and federal
agencies of foreign banks
b. State member banks, branches and agencies of foreign banks (other than
federal branches, federal agencies, and Insured State Branches of Foreign
Banks), commercial lending companies owned or controlled by foreign banks,
and organizations operating under section 25 or 25A of the Federal Reserve Act
c. Nonmember Insured Banks, Insured State Branches of Foreign Banks, and
insured state savings associations
d. Federal Credit Unions

3. Air Carriers

4. Creditors Subject to the Surface Transportation Board

CONTACT
a. Consumer Financial Protection Bureau
1700 G Street, N.W.
Washington, DC 20552
b. Federal Trade Commission: Consumer Response Center – FCRA
(877) 382-4357
Washington, DC 20580
a. Office of the Comptroller of the Currency
Customer Assistance Group
1301 McKinney Street, Suite 3450,
Houston, TX 77010-9050
b. Federal Reserve Consumer Help Center
P.O. Box 1200
Minneapolis, MN 55480
c. FDIC Consumer Response Center
1100 Walnut Street, Box #11
Kansas City, MO 64106
d. National Credit Union Administration
Office of Consumer Protection (OCP)
Division of Consumer Compliance and Outreach (DCCO)
1775 Duke Street, Alexandria, VA 22314
Asst. General Counsel for Aviation Enforcement & Proceedings
Aviation Consumer Protection Division
Department of Transportation
1200 New Jersey Avenue, S.E.
Washington, DC 20590
Office of Proceedings, Surface Transportation Board
Department of Transportation
395 E. Street, S.W.

CONFIDENTIAL PROPRIETARY MATERIAL
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RUPAUL’S DRAG RACE (SEASON 8) – 2015
5. Creditors Subject to the Packers and Stockyards Act, 1921
6. Small Business Investment Companies

7. Brokers and Dealers
8. Federal Land Banks, Federal Land Bank Associations, Federal Intermediate
Credit Banks, and Production Credit Associations
9. Retailers, Finance Companies, and All Other Creditors Not Listed Above

Washington, DC 20423
Nearest Packers and Stockyards Administration area supervisor
Associate Deputy Administrator for Capital Access
United States Small Business Admin.
409 Third Street, SW, 8th Floor
Washington, DC 20416
Securities and Exchange Commission
100 F St., N.E.
Washington, DC 20549
Farm Credit Administration
1501 Farm Credit Drive
McLean, VA 22102-5090
FTC Regional Office for region in which the creditor operates or
Federal Trade Commission: Consumer Response Center – FCRA
(877) 382-4357
Washington, DC 20580

CONFIDENTIAL PROPRIETARY MATERIAL
Page 9DocuSign Envelope ID: 

ATTENTION
PLEASE BE AWARE THE
NEXT DOCUMENT YOU
WILL BE SIGNING IS A
BACKGROUND CHECK
QUESTIONNAIRE
!DocuSign Envelope ID: 

Disclosure/Authorization – PARTICIPANT (STD)
RUPAUL’S DRAG RACE (SEASON 8) 2015
Background Questionnaire – Participant
Please note that although you may have answered many of these questions in another document, it is
necessary for you to complete this form in its entirety and not leave anything blank. Put “N/A” where any
question is “Not Applicable.” Thank you.
Full LEGAL Name:
(First)

(Middle)

-

Social Security Number:

(Last)

-

Date of Birth:
(Month/Day/Year)

OTHER COUNTRY IDENTIFIER AND TYPE:
Phone No: (C): (

)

-

(H): (

)

-

(W): (

)

-

Complete Email Address:
Website Address(es) (Include FACEBOOK, MYSPACE, TWITTER, ETC.) – Please provide complete address/URL

A complete background investigation is a part of the screening process we require for all parties involved in this
production. Please read the following questions carefully and answer them AS COMPLETELY AS POSSIBLE as your
responses will be checked against several sources, including governmental organizations. If our investigation reveals
the supplied information is inaccurate or incomplete, you may be disqualified to participate in this production.
1.

Have you used or been known by any other name(s)? List all other names you have used and the purpose (former
name, cultural name, stage name, etc.) and dates used:
Name:

Dates:

Name:

Dates:

2.

What is your place of birth (city/county/state)?

3.

Please indicate your gender:

Male

4.

Are you a:

Naturalized Citizen

U.S. Citizen

Female

Date applied for citizenship:

Legal Alien
Identification Number:

5.

Have you ever been arrested for a crime in the past ten years?

Yes

No

6.

Have you ever been convicted of a crime?

Yes

No

7.

Has anyone ever filed a temporary or permanent restraining order or protective order or
civil harassment case against you INCLUDING AS PART OF ANY DIVORCE
PROCEEDING in the past seven years?

Yes

No

8.

Have you ever been convicted of a crime requiring you to report or register pursuant to
Penal Code §290 - 294, et seq, for a crime related to a sexual offense? If yes, please
name each county/city you report and/or register:

Yes

No

CONFIDENTIAL PROPRIETARY MATERIAL
Page 1DocuSign Envelope ID: 

Disclosure/Authorization – PARTICIPANT (STD)
RUPAUL’S DRAG RACE (SEASON 8) 2015
9.

Have you been ordered by a court to report and/or register as a sex offender in the State
of California or any other state? If yes, please name each county/city you report and/or
register:

Yes

No

10. Are you currently (1) under investigation; (2) under arrest; (3) released on bond; (4)
under indictment; (5) on probation; or (6) a defendant in any pending criminal
proceeding?

Yes

No

11. Have you any current or outstanding warrants (e.g., traffic tickets, arrests, etc.)?

Yes

No

Residence Address History - Cities / States (10 years)
CITY

STATE

YEARS FROM / TO

Employment Address History - Cities / States (10 years)
EMPLOYER NAME / PHONE

CITY / STATE

POSTION

Post High School Education and Training Address History - (10 years)

CONFIDENTIAL PROPRIETARY MATERIAL
Page 2

FROM / TODocuSign Envelope ID: 

Disclosure/Authorization – PARTICIPANT (STD)
RUPAUL’S DRAG RACE (SEASON 8) 2015
INSTITUTION NAME

CITY/STATE

FROM / TO

DEGREE NAME

Business Ownership Filings – IF APPLICABLE
BUSINESS NAME

CITY/STATE

TYPE (CORP,
LLC, DBA)

DATE
FORMED

Professional Licenses and Certificates – IF APPLICABLE
LICENSE TYPE

LICENSE NO.

STATE

ISSUE DATE

CONFIDENTIAL PROPRIETARY MATERIAL
Page 3

EXPIRATION
DATE