J. LEGEND DUETS ELIGIBILITY REQUIREMENTS AND APPLICANT QUESTIONNAIRE ELIGIBILITY REQUIREMENTS Please be advised that you must meet the following eligibility requirements in order to participate in Duets (the Program ): You must be 18 years of age or older and legally present in the United States during your participation in the Program. Neither you nor any of your immediate family members (spouse, ex-spouse, parents, siblings, children, stepchildren) or household members (whether or not related) may be, or have been, within the past year, an employee, director, officer, agent, or representative of: (a) Keep Calm and Carry On Productions, Inc. ( Producer ), its licensees, assigns, parents, or affiliated or subsidiary companies, or any person or entity involved in the development, production, distribution or other exploitation of the Program or any variation thereof; (b), American Broadcasting Companies, Inc. ( Network ), any television station owned or operated by the Network, and each of their respective parents, subsidiaries, affiliates or related entities; (c) any known major sponsor of the Program or its advertising agency; or (d) any person or entity supplying services or prizes to the Program. You may not be a candidate for public office nor become a candidate for public office until one (1) year after the initial broadcast or other exhibition of the final episode of the Program in which you appear. You may not have been convicted of a felony nor ever had a restraining order entered you. You must voluntarily submit to a background check. You must be a bona fide amateur, and as such: i. may not have been employed as a performer on an audio book or as a royalty artist on a sound recording which has been commercially released by a major label or a bona fide independent label; ii. may not have two or more credits in television (including free television, pay television, basic cable or direct-to-video) or in a professional stage play (e.g., Broadway, Off Broadway); iii. may not have had 13 or more weeks employment as a performer in radio in a major market; and; iv. may not have been paid to appear as a principal performer, announcer, singer or dancer in a national television or radio commercial or interactive game. In addition, you must represent and warrant that you are not currently a party to or otherwise bound by or subject to any of the following: i. a current music recording contract; ii. an exclusive acting contract; or iii. any other contractual agreement (including without limitation, a contract for talent representation) that would prohibit you from participating in all levels of the competition or entering into any contracts required by Producer or Hollywood Records. To accept an invitation to be a contestant, you must timely complete and return this agreement, the Contestant Agreement and Release with Arbitration Provision that will be furnished to you by Producer, and any other documents that Producer may require in its sole discretion. Please note that the grand prize will require that the winner have the unrestricted right to work in the United States. All eligibility determinations, including without limitation determinations of amateur status, shall be made solely by Producer in its sole discretion and are final and binding in all respects. Producer reserves the right to modify the eligibility requirements at any time.
APPLICANT QUESTIONNAIRE Name: Age: Street Address: City/State/Zip: Phone # s: home: work: cell: fax: E-mail: Any aliases by which I am or have ever been known: Birth date: If required, are you able to provide documentation that you are one of the following: YES NO (a) U.S. Citizen, (b) U.S. Permanent Resident (green card holder), (c) Temporary Resident (as defined by U.S. immigration law), (d) Asylee or (e) Refugee I represent that: I am a bona fide amateur, and as such: (i) have not been employed as a performer on an audio book or as a royalty artist on a sound recording which has been commercially released by a major label or a bona fide independent label; (ii) do not have two or more credits in television (including free television, pay television, basic cable or direct-to-video) or in a professional stage play (e.g., Broadway, Off Broadway); (iii) have not had 13 or more weeks employment as a performer in radio in a major market; and (iv) have not been paid to appear as a principal performer, announcer, singer or dancer in a national television or radio commercial or interactive game. If the above paragraph is not accurate in all respects as it pertains to you, please list the full details below (e.g., the type of work, for how long, where, whether it fell under the jurisdiction of a collective bargaining agreement, and if so, what guilds or unions were involved). Failure to fully and accurately respond may result in disqualification. (Insert extra page(s) if necessary. If none, please state None in the space below.) (1) Do you currently have a contract for talent representation? o YES o NO (2) Do you currently have a current music recording contract? o YES o NO (3) Do you currently have an exclusive acting contract? o YES o NO (4) Do you have any other contractual agreement that would prohibit you from participating in all levels of the competition or entering into any contracts required by Producer or Hollywood Records? o YES o NO If I answered YES to any of Questions 1-4 above, I have listed the full details below. Failure to fully and accurately respond may result in disqualification. (Add page(s) as necessary. If none, please state None in the space below.) Page 2 of 10
(5) I represent that I am currently available to sign a so-called 360 deal with Hollywood Records (e.g., exclusive recording services, touring rights, music publishing rights, merchandising rights, etc.) and I have not granted such rights to any other person or entity. o YES o NO If I answered NO to Question 5 above, I have listed the full details below. Failure to fully and accurately respond may result in disqualification. (Insert extra page(s) if necessary. If none, please state None in the space below.) Where did you grow up and how did it influence you? Do you have a current spouse or significant other? If so, describe them. If not, why? If applicable, please list your children's names and ages. School(s) Attended & Degree(s) Completed: Occupation/place of employment: Describe any other interesting jobs you've held? Circle any or all that you can sing comfortably. BASS TENOR ALTO SOPRANO Circle your sight-reading ability. STRONG INTERMEDIATE BASIC NONE Circle your piano skills. STRONG INTERMEDIATE BASIC NONE List any instruments you play and your skill level. Page 3 of 10
What about singing with John Legend appeals to you? What about competing on DUETS appeals to you? How long have you been singing and in what capacity? What has been the biggest obstacle in your singing career? Have you had any vocal training? Describe: What do you enjoy most about singing? What song best represents your life so far? Why? Favorite music performer(s): Why? What types of music do you prefer to sing? Page 4 of 10
What singer/singers do you want to model yourself after? Why? Have you had personal or professional dealings or associations with John Legend? If so, explain. Have you had personal or professional dealings or associations with Kelly Clarkson, Jennifer Nettles, or Robin Thicke? If so, explain. If selected, to whom would you dedicate your performance? Why? What is the one thing you would do if money, work, responsibilities, etc. didn t get in the way? Describe your most embarrassing moment or experience: Describe your biggest accomplishment. Describe your most disappointing moment. Describe the biggest challenge you have faced in your life. Page 5 of 10
What scares you the most? Why? Describe yourself in one sentence. List any special talents/hobbies. List any causes or charities that are important to you. List any organizations or clubs you belong to. List any other awards or accolades you've received. SIZES: DRESS: SHIRT: PANTS: SHOE: RING: HAT: HEIGHT: WEIGHT: Have you ever appeared as a performer on: A nationally broadcast free or basic cable television show? YES / NO A free, pay or basic cable movie for television or miniseries?. YES / NO A theatrical motion picture?..yes / NO A national commercial?.yes / NO A first class live stage production? YES / NO A nationally released sound recording?.yes / NO Page 6 of 10
If you have appeared as a performer on any of the foregoing, please list them, identify the producer and network (for television appearances) and describe the nature of your role and whether you were paid. List any other TV/film appearances, including but not limited to contest, reality and game shows you've appeared. If none, please state this. The following are ALL of the television competition, contest, game or reality shows I have applied or auditioned for, participated on or appeared in within the past one (1) year. Please provide details. If none, please state None in the space below.) List any other TV shows that are currently considering you. List any/all websites you have ever appeared on, currently or in the past. List your 3 closest friends/family members that we could call as character references, name & phone #(s): What is the closest airport to your home? Are you available to commit up to 3 weeks in May and up to 4 weeks in June & July, 2012? Page 7 of 10
- PLEASE ANSWER EACH QUESTION BELOW HONESTLY - Have you ever hit anyone in anger or self-defense? YES / NO (circle one) If so, explain. Have you ever been treated for any serious physical illness or any mental illness(es) or had any serious injuries? YES / NO (circle one) If so, explain. Do you regularly take any prescription medication? YES / NO (circle one) If so, explain. Do you have any allergies? YES / NO (circle one) If so, explain. Do you have any medical and/or physical conditions, special needs, accommodations or fears that we should know about or that might affect your ability to participate in this competition? YES / NO (circle one) If so, explain. Have you ever had a temporary or permanent restraining order placed against you or has anyone sought a temporary or permanent restraining order against you? YES / NO (circle one) If so, explain (include date, city, state and circumstances). Have you ever been charged with a misdemeanor or a felony, either as a juvenile or an adult? YES / NO (circle one). If so, please explain and include date, city, state, charge and outcome (e.g., dismissal, conviction, etc.) for each incident. Have you ever been convicted of a misdemeanor or a felony, either as a juvenile or an adult? YES / NO (circle one). If so, please explain and include date, city, state, charge and outcome (e.g., dismissal, conviction, etc.) for each incident. Have you ever been party to a lawsuit or other civil court proceeding? YES / NO (circle one) If so, explain & include date, city, ST & outcome (e.g., verdict, dismissal, settlement, etc.) for each court proceeding. Please attach additional pages if necessary. Page 8 of 10
RELEASE, CONSENT AND GRANT OF RIGHTS THIS IS A LEGAL DOCUMENT AFFECTING YOUR RIGHTS AND RESPONSIBILITIES PLEASE READ IT CAREFULLY BEFORE SIGNING PLEASE READ, SIGN AND DATE THE FOLLOWING. In consideration of Producer s further considering me to become a contestant in the television series currently entitled Duets (the Program ), presently intended for initial exhibition on the ABC Television Network owned by American Broadcasting Companies, Inc. ( Network ), and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I hereby agree as follows: I represent and warrant that all of the information provided on this Eligibility Requirements and Applicant Questionnaire ( Questionnaire ) is true and accurate, and acknowledge that any false or misleading information submitted by me in connection with the Program is grounds for my immediate elimination from consideration. I agree that Producer has the right to interview me in connection with my application to participate in the Program and that any such interview and that any other statements or actions by me in connection with the Program may be filmed or taped. If I have submitted or submit to Producer any material in connection with my application to become a contestant in the Program (such as, but not limited to, photographs and video, I represent and warrant that I own or have acquired all necessary rights in such submissions to grant Producer the rights granted herein. The information contained on this Questionnaire, any filmed or taped interview material and any other material submitted by me including, but not limited to, pictures, film and videotapes (the Material ), shall be deemed to be works-made-forhire under the Copyright Act and shall be the exclusive property of Producer. If the Material or any part thereof is for any reason deemed not to be a work-made-for-hire, then I hereby irrevocably and perpetually grant and assign to Producer all rights of any nature in and to the Material that I may possess. Producer shall have the right to use or otherwise exploit, and to authorize others to use or otherwise exploit, the Material, or any portion thereof, in any manner and in any media, now known or hereafter devised, throughout the world, in perpetuity. Without limiting the foregoing, the Material may be edited, cut, rearranged or otherwise revised or modified. I further grant Producer the right to use and license others to use my name, voice, image, likeness and biographical information in and in connection with the Program or otherwise, and in connection with advertising, programming and publicity materials for the Program (including, without limitation, in commercial tie-ins) and/or for Producer or Network. I acknowledge and agree that Producer has no obligation to use any of the rights granted by me herein, and I grant the rights granted hereunder whether or not I am ultimately selected as a contestant. I acknowledge that Producer may determine, in its absolute discretion, whether or not to select me to participate in the Program and that Producer has the right, to eliminate me from further consideration as a contestant or potential contestant at any time for any reason. Producer reserves the right to modify the eligibility requirements at any time. I acknowledge and agree that all decisions by Producer concerning the selection of contestants and determinations of eligibility are at Producer s sole discretion and not subject to challenge or appeal. I hereby authorize Producer and its designees to secure information about me, my background and my experiences from my current and former employers, associates, friends, family members, educational institutions, government agencies, credit reporting agencies, and any references I have provided, and I authorize such parties to provide information concerning me. Without limiting the foregoing, I specifically authorize investigation of my employment, medical, and government records, including but not limited to, my motor vehicle, criminal, and court records, and credit and/or consumer report(s). I hereby authorize Producer and its designees (including without limitation, medical and other health professionals retained by Producer) to conduct psychological, medical and physical examinations of me as required by Producer. I understand that the engagement of any such medical, psychological and/or other health professionals by Producer will not create a doctor-patient or other similar confidential relationship with me. Without limiting the foregoing, I further authorize all such individuals conducting such examinations or investigations of me to disclose to Producer and Network all information about me obtained in connection therewith, and further authorize Producer and Network to utilize such information in selecting contestants for or otherwise in connection with the Program. Page 9 of 10
I hereby unconditionally and irrevocably release and forever discharge each of Producer, Network, all persons or entities involved in the pre-production or production of the Program and each of the foregoing entities respective parents, subsidiary and related entities, affiliates, successors and assigns, and each of their respective directors, officers, employees and agents, (collectively, the Released Parties ), from any and all claims damages, liabilities, costs and expenses of any kind, resulting or arising out of or in connection with my application for the Program, contestant selection determinations and/or the exercise of any rights granted by me herein (collectively, the Released Claims ). The Released Claims shall include but are not limited to those based on negligence, personal injury, wrongful death, property damage, products liability, libel, slander, defamation, invasion of privacy, publicity or personality, infliction of emotional distress, breach of contract, breach of any statutory or other duty of care owed under applicable laws and infringement of trademark, patent or copyright. I understand and agree that all rights under Section 1542 of the Civil Code of California, as well as any other statute, law, or rule of similar effect of any jurisdiction throughout the world, are hereby expressly waived. Said section reads as follows: Certain claims not affected by general release. A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor. I hereby agree that I will neither sue nor file any claim, complaint or lawsuit against any of the Released Parties for any of the Released Claims. I further agree to defend, indemnify and hold harmless each of the Released Parties from and against any and all claims, liabilities or expenses (including reasonable attorneys fees) by whomever asserted arising from or relating to: (a) my breach or alleged breach of any representations and warranties herein; (b) my acts, statements and/or omissions in and in connection with my application for the Program; (c) the use of any of the rights I have granted herein; and (d) my violation of any law, rule or regulation. I agree that any and all claims, disputes or controversies arising out of or in connection with this Questionnaire or my application for or participation in the Program that are not otherwise barred or released pursuant to the terms herein shall be resolved exclusively and confidentially by binding arbitration before a single, neutral arbitrator, under the auspices of JAMS using its Streamlined Arbitration Rules and Procedures, through its Los Angeles, California office. I agree that my remedies for any breach of this Agreement by Producer or others will be limited to monetary damages, if any, and in no event will I be entitled to rescind this agreement or the rights granted hereunder, or to seek or obtain injunctive or any other equitable relief. I agree that I shall not disclose to any third party any information I obtain through any source whatsoever about the Program, including but not limited to the application process, taping locations, the identity of any host, judge, talent or contestant in the Program, the events or outcome of the Program, and the business or creative affairs of Producer or Network. This agreement is not assignable by me, but may be freely assigned by Producer or Network in whole or in part. This agreement shall be governed by and interpreted in accordance with the laws of the State of California. If I am selected by Producer to advance in the selection process, I agree to execute and deliver to Producer its long-form Participant Agreement and such other documents as Producer deems necessary or advisable regarding my proposed or actual participation. This agreement constitutes the entire understanding and agreement of the parties, and supersedes all prior understandings, whether written or oral. Should any provision of this agreement be void or unenforceable, such provision shall be deemed omitted, and this agreement with such provision omitted shall remain in full force and effect. ACCEPTED AND AGREED: Signature: Print name: Date: DOB: Address: Page 10 of 10