RELEASE
WITH AUTHORIZATION TO RECORD
Release
executed on __________ (date), by __________________________________
(name),
of ____________________________________________________ (address), here
referred to as releasor, in favor of _____________________________ (company), a
corporation organized and existing under the laws of the State of
________________, with its principal place of business located at
_________________________________
____________________________________________
(address), here referred to as releasee.
In
consideration of $ __________, receipt of which from releasee is acknowledged
(or recite other consideration), releasor, being of lawful age, hereby
expressly releases releasee, its licensees, agents, successors and assigns from
all liability for claims and demands arising out of the agreement as set forth
below.
Releasor
hereby authorizes releasee to record __________ (his or her) picture and voice
on photographs, films and audio- and videotapes, to edit these recordings at
its discretion, and to incorporate these recordings into movie and sound films
or audio- and videotapes, broadcasts (radio and television, including cable and
satellite transmissions) programs, or otherwise, and to use and license others
to use such recordings, movie and sound films and audio/videotapes and
broadcast programs in any manner of media whatsoever, including unrestricted
use for purposes of publicity, advertising and sales promotion and to use
releasor’s name, likeness, voice and biographic or other information in
connection therewith.
Releasor
further agrees to indemnify and save harmless releasee, its licensees, agents,
successors and assigns, from any and all claims and liability for damages,
losses or expenses of any sort arising from the making of such recordings and
their use. Releasor further acknowledges that, except for ______________ (the
above-stated compensation or as the case may be) there were no promises of any
compensation for such use by releasee or by anyone associated with releasee
and, that releasee exclusively owns all rights to these recordings regardless
of the form in which they are produced or used.
Releasor
warrants and agrees that __________ (he or she) has read and understood the
contents hereof, and that __________ (he or she) has the right and authority to
execute this release and indemnification.
In
witness whereof, releasor has executed this release and indemnity at
_____________
____________________
(designate place of execution) on the date and year first above written.
____________________________________ ______________________
Signature Date
(Acknowledgment, if desired)
