M.O.M. GUY APPLICATION

Personal Information
First Name
Last Name
Age
Contact Information
E-mail Address
Mailing Address (Street Address, City, State, Postal Code)
Primary Phone Number
Secondary Phone Number
Tell Us Why You Should be a M.O.M. Guy (2000 Characters Maximum)
I Am Submitting a Video (Follow Instructions on Next Page)	Yes No

Stories, ideas, suggestions, essays, audio, video, photographs or related materials and any other materials of any kind whatsoever submitted (hereinafter, the "Submissions") will not be returned or kept confidential. All such Submissions may be used: (i) on Man Oh Man (the “TV Show”); (ii) on www.manohman.com (the "Website"); (iii) for broadcast or other publication by JusMad Productions (“JMP”) or any of its affiliated companies or entities, and may be distributed in all markets and media worldwide and in perpetuity. By submitting, you acknowledge and agree to the above, and the following terms and conditions and consent to your name and geographic location possibly being published in connection with the publication, distribution and/or broadcast of your Submission(s).

1. Neither JMP nor any of its affiliated companies or entities is obligated to use or pay you for any Submission.
2. It is possible that similar Submissions may be submitted to JMP by multiple sources and that a Submission may be similar to ideas generated or developed independently by JMP employees.
3. All Submissions shall become the property of JMP, may be edited for length, clarity and/or functionality, will not be subject to any obligation of confidentiality, may be shared with and used by the staff of JMP and any of their affiliated companies or entities and shared with legal authorities if JMP believes it warranted. Neither JMP nor any third or other party with whom JMP shares the Submissions shall be liable for any use or disclosure of any information or Submission that you submit.
4. JMP shall exclusively own all known or later existing rights to the Submissions worldwide and shall be entitled to the unrestricted use of the Submissions for any purpose in all media now known or hereafter discovered without compensation to the provider of such Submissions.
5. JMP reserves the right to change due dates for Submissions, or other specifics, as it deems necessary in its sole and exclusive discretion.
6. By providing the Submissions, you represent and warrant that you are at least twenty-one (21) years old.
7. No Submission may contain any material that is abusive, vulgar, threatening, harassing, libelous, defamatory, obscene, invades a person's privacy, violates any law, any intellectual property or other property or other rights, or is known to be false.
For more information about ManOhMan.com's privacy policy click here.