GA68387

Welcome to the GOOD AMERICAN Open Casting!

Thank you for submitting your application and hopefully becoming a part of the #GOODSQUAD

Be sure to keep hold of this form as you will need it if you come out to meet us in person.

NAME: Karel Catherine Tetaha Ambong AGE: 23

NICKNA Kate HEIGH 5ft 3in
ME: T:
FACEBO https://www.facebook.com/karel.tetaha?mibextid=Zb TIKTO https://www.tiktok.com/@karel566?_t=8g
OK: WKwL K: uvGqyGyBi&_r=1
INSTAGR https://instagram.com/______black____moon?igshid= TWITT
AM: OGQ5ZDc2ODk2ZA== ER:
EMAIL: tetahakarel@gmail.com PHON 49017687307675
E:
ADDRESS Pawlowstr. 58
: Borna, Sachsen 04552
DE

PLEASE NOTE

GOOD AMERICAN WILL BE FILMING AND TAKING PHOTOGRAPHS DURING THE CASTING AND HAS THE RIGHT TO USE ANY AND ALL FOOTAGE TAKEN OF YOU DURING THE
CASTING. BY PARTICIPATING IN THE CASTING, YOU HEREBY AGREE TO THE FILMING, PHOTOGRAPHING AND RECORDING OF YOUR APPEARANCE, NAME, VOICE, SOUNDS,
IMAGE, AND LIKENESS DURING THE CASTING AND THE USE THEREOF AND ACKNOWLEDGE THAT YOU HAVE READ AND ACCEPTED GOOD AMERICAN’S PRIVACY POLICY AND
CASTING TERMS & CONDITIONS WHICH CAN BE FOUND HERE: https://www.goodamerican.com/pages/open-casting-terms-conditions. YOU ALSO ACKNOWLEDGE THAT YOU
ARE NOT CURRENTLY SIGNED TO AN AGENCY.

YOU UNDERSTAND THAT YOUR PARTICIPATION IN THE CASTING INVOLVES INHERENT RISKS AND DANGERS INCLUDING, BUT NOT LIMITED TO, ACCIDENTS, PERSONAL AND
BODILY INJURY (INCLUDING DEATH) AND PROPERTY LOSS OR DAMAGE. YOU HAVE CONSIDERED THE NATURE AND EXTENT OF THE RISKS INVOLVED AND STILL VOLUNTARILY
CHOOSE TO ASSUME ALL SUCH RISKS, BOTH KNOWN AND UNKNOWN, EVEN THOSE RISKS THAT RESULT FROM NEGLIGENCE, RECKLESS DISREGARD, INTENTIONAL MISCONDUCT
OR GROSS NEGLIGENCE OF THE "RELEASED PARTIES" (AS THAT TERM IS DEFINED BELOW) OR OTHERS AND YOU ASSUME FULL RESPONSIBILITY FO R PARTICIPATION IN THE
CONTENT. YOU AGREES THAT YOU ARE PARTICIPATING IN THE CASTING WITHOUT ANY UNDERSTANDING THAT YOU ARE BEING REQUIRED TO PARTICIPATE.
YOU CONSENT TO TREATMENT IN THE EVENT OF AN EMERGENCY OR OTHER INCIDENT IN WHICH, IN THE REASONABLE JUDGMENT OF THE ON -SITE PERSONNEL, YOU REQUIRE
MEDICAL CARE.

YOU HEREBY FOREVER RELEASE AND DISCHARGE GOOD AMERICAN AND ITS EMPLOYEES, AGENTS, REPRESENTATIVES, SUCCESSORS, CONTRACTORS, DESIGNEES, ASSIGNS AND
LICENSEES FROM ANY CLAIMS RELATING TO ANY USE OF YOUR APPEARANCE, NAME, VOICE, SOUNDS, IMAGE, AND LIKENESS AS DESCRIBED ABOVE, INCLUDING, WITHOUT
LIMITATION, ANY AND ALL CLAIMS THAT YOU HAVE OR MAY HAVE FOR DEFAMATION, INVASION OF PRIVACY OR VIOLATION OF THE RIGHT OF PUB LICITY OR NOTORIETY. IN
ADDITION, YOU WAIVE ANY RIGHT TO ENJOIN THE DISTRIBUTION, BROADCAST, EXPLOITATION OR EXHIBITION OF SUCH MATERIALS, OR TO OBTAIN ANY OTHER FORM OF
EQUITABLE OR INJUNCTIVE RELIEF RELATED THERETO. YOU HEREBY SPECIFICALLY WAIVE THE PROVISIONS OF ANY LAW OR REGULATION WHICH PROVIDES THAT A GENERAL
RELEASE DOES NOT EXTEND TO CLAIMS WHICH YOU DO NOT KNOW OR SUSPECT TO EXIST IN YOUR FAVOR AT THE TIME OF EXECUTING THIS RELEASE.

YOU ALSO CONSENT TO THE COLLECTION OF THE PERSONAL DATA ON THIS FORM WHICH WE WILL USE EXCLUSIVELY TO EVALUATE YOUR JOINING # GOODSQUAD. WE ARE
UNABLE TO EVALUATE YOU IF YOU DO NOT PROVIDE THIS INFORMATION AND ARE PHOTOGRAPHED. WE WILL ALSO STRICTLY LIMIT ACCESS TO THE INFORMATION ON THIS
FORM AND WILL DESTROY IT AFTER WE NO LONGER NEED IT.

* I confirm that I have read, understand and agree to all of the above.

BY CHECKING THIS BOX, YOU AGREE TO RECEIVE RECURRING AUTOMATED PROMOTIONAL AND PERSONALIZED MARKETING TEXT MESSAGES AND EMAIL S (E.G. CART
REMINDERS) FROM GOOD AMERICAN AT THE CELL NUMBER AND EMAIL USED WHEN SIGNING UP. CONSENT IS NOT A CONDITION OF ANY PUR CHASE. REPLY HELP FOR HELP
AND STOP TO CANCEL. MSG FREQUENCY VARIES. MSG & DATA RATES MAY APPLY. VIEW TERMS & PRIVACY.

PLEASE ALSO PRINT YOUR NAME IN THE SPACE INDICATED BELOW TO CONFIRM YOU HAVE READ AND UNDERSTOOD ALL OF THE ABOVE.

Electronically Signed by: Karel Catherine Tetaha Ambong

Date: Sunday, October 29, 2023 7:10:29 AM PT
IP Address: 46.114.200.0
 GA68387

Entry ID: GA68387