Information about http://satellite.indymedia.org/docs/releaseforms.pdf

release agreement Whereas,…

Tags: assigns, displays and exhibitions, extent, generality, intention, invasion of privacy, libel slander, perpetuity, public displays, receipt, reproductions, right of publicity, subject matter, tents, trademark violation, undersigned, voice name,
Pages: 3
Language: english
Created: Fri Mar 23 13:10:38 2001
Display cached document
Page 1
image
Page 2
image
Page 3
image
                               release agreement




Whereas, _____________________ (the "Producer") is engaged in a project (the "Video"), and

Whereas, I, the undersigned, have agreed to appear in the Video, and

Whereas, I understand that my voice, name, and image will be recorded by various mechani-
cal and electrical means of all descriptions (such recordings, any piece thereof, the con-
tents therein and all reproductions thereof, along with the utilization of my name, shall
be collectively referred to herein as the "Released Subject Matter"),

Therefore, in exchange for $1.00, receipt of which is hereby acknowledged and whose suffi-
ciency as consideration I affirm, I hereby freely and without restraint consent to and give
unto the Producer and its agents or assigns or anyone authorized by the Producer, (collec-
tively referred to herein as the "Releasees") the unrestrained right in perpetuity to own,
utilize, or alter the Released Subject Matter, in any manner the Releasees may see fit and
for any purpose whatsoever, all of the foregoing to be without limitation of any kind.
Without limiting the generality of the foregoing, I hereby authorize the Releasees and grant
unto them the unrestrained rights to utilize the Released Subject Matter in connection with
the Video's advertising, publicity, public displays, and exhibitions. I hereby stipulate
that the Released Subject Matter is the property of the Producer to do with as it will.

I hereby waive to the fullest extent that I may lawfully do so, any causes of action in law
or equity I may have or may hereafter acquire against the Releasees or any of them for libel,
slander, invasion of privacy, copyright or trademark violation, right of publicity, or false
light arising out of or in connection with the utilization by the Releasees or another of
the Released Subject Matter.

It is my intention that the above mentioned consideration represents the sole compensation
that I am entitled to receive in connection with any and all usages of the Released Subject
Matter. I expressly stipulate that the Releasees may utilize the Released Subject Matter
or not as they choose in their sole discretion without affecting the validity of this
Release. This Release shall be governed by Virgina law.

I hereby certify that I am over the age of eighteen, and that I have read, understood, and
agreed to the foregoing.




____________________________________________________
Print Name

____________________________________________________ ____________________
Signature                                            Date

____________________________________________________
Address

____________________________________________________
City, State, Zip

____________(______)________________________________
Phone No
                          standard/minor release




____________________________________________________
Participant's Name:

____________________________________________________
Program:

In consideration of the sum of One Dollar, ($1.00), receipt for which is hereby acknowl-
edged, and for the opportunity to participate in the above-identified video program produced
by ______________________________(company name) , I agree that the program(s) may be broad-
cast and distributed without limitation through any means and I shall not receive any com-
pensation for my participation.

I confirm that any and all material furnished by me for this program is either my own or
otherwise authorized for such use without obligation to me or any third party. I also agree
to the use of my name, likeness, portrait or pictures, voice and biographical material about
me for educational, program or series publicity and organizational promotional purposes.

I further agree that my participation in the program confers upon me no rights to use, own-
ership or copyright. I release ______________________________(company name) , its employ-
ees, agents, and assigns from all liability which may arise from any and/or all claims by
me or any third party in connection with my participation in the program(s).

It is understood that ______________________________(company name) is under no obligation
to broadcast the above-identified program(s) or series.

Agreed to and signed this _______ day of ______________________________ , 2001 by:



____________________________________________________
Participant's Signature

____________________________________________________
Street Address

____________________________________________________
City, State, Zip


I, ____________________________________________________ am the parent or legal guardian of
the above-named minor and I endorse the above statement in his/her behalf on this _______
day of ______________________________ , 2000.



____________________________________________________
Parent or Guardian

____________________________________________________
Street Address

____________________________________________________
City, State, Zip
                            talent/model release

____________________________________________________
Production Company Name

____________________________________________________
Production Company Street Address

____________________________________________________
Production Company City, State, Zip


In consideration of the sum of $ _______ and any other good and valuable considerations,
receipt of which is hereby acknowledged, I, being of legal age, hereby give [Production
Company Name], their licensees, successors, legal representatives, and assigns the absolute
and irrevocable right and permission to use my name and to use, reproduce, edit, exhibit,
project, display, copyright, publish and/or resell photography images and/or moving pictures
and/or videotaped images of me with or without my voice, or in which I may be included in
whole or in part, photographed, taped, videotaped, and/or recorded on ____________________
and thereafter, and to circulate the same in all forms and media for art, advertising, trade,
competition of every description and/or any other lawful purpose whatsoever. I also consent
to the use of any printed matter in conjunction therewith.

I hereby waive any right that I may have to inspect and/or approve the finished product or
products or the editorial, advertising, or printed copy or soundtrack that may be used in
connection therewith and any right that I may have to control the use to which said prod-
uct, products, copy and/or soundtrack may be applied.

I hereby release, discharge and agree to save ______________________________ (production
company name), their licensees, successors, legal representatives and assigns from any lia-
bility by virtue of any blurring, distortion, alteration, optical illusion or use in com-
posite form whether intentional or otherwise that may occur or be produced in the making,
processing, duplication, projecting or displaying of said picture or images, and from lia-
bility for violation of any personal or proprietary right that I may have in conjunction
with said pictures or images and with the use thereof.


AGREED AND ACCEPTED this _______ day of ______________________________ , 2001.



____________________________________________________
Talent/Model signature printed name

____________________________________________________
Talent/Model signature

____________________________________________________
Street Address

____________________________________________________
City, State, Zip

____________(______)________________________________
Phone No

____________________________________________________
Social Security Number (furnish W-9)