Indemnity Agreement

In consideration for the services that the “mary i entertainment agency, inc.” provides for me (the entertainer),

I_____________________________ T/A ______________________________

                entertainer’s legal name                                                          entertainer’s “Stage” name

agree to indemnify and hold harmless, the mary i entertainment agency, inc. from any losses that are occasioned by the services that I (the entertainer) perform for the engagement dates that the mary i entertainment agency, inc. set-up for me (the entertainer).

*           *           *           *           *

I (the entertainer) acknowledge that I am an independent contractor and not an employee of the mary i entertainment agency, inc.

*           *           *           *           *

I (the entertainer) do have liability insurance and will provide the “mary i entertainment agency, inc.” with an updated copy of such insurance each year before the expiration of the previous year’s policy.

Entertainer’s Legal Name:_____________________________________

Address:______________________________

            ________________________________

City:___________________________ State: ________ Zip: ________________

H – Phone: (_______)_________________________

W – Phone: (_______)__________________Ext:_______

Fax: (_______)___________________________

Email: __________________________________

Social Security # _______ - ________ -________

Entertainer’s Signature:_________________________ Date:________________

Please Print your name clearly: _______________________________________

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