Interview Video Release Form

INTERVIEW VIDEO RELEASE FORM

Recitals

WHEREAS, Producer: (also referred to as Producer) wishes to record and use audiovisual materials of an interview with the Interviewee for use in connection with the Project described below;

WHEREAS, Interviewee: (also referred to as Interviewee) consents to participate in such interview and to grant the rights set forth in this Agreement;

WHEREAS, the parties desire to set forth their respective rights and obligations with respect to the recording, use, distribution, and ownership of the Interview Materials and any derivative works.

Parties and Contact Information

I represent that I am at least 18 years of age: Yes No — If No, Guardian Name:

Interview Details

Project Title:

Interview Date:    Location:

Approximate Duration:

Scope of Work

Grant of Rights

Interviewee hereby grants to Producer and Producer's licensees, successors and assigns a perpetual, worldwide, royalty-free, transferable, and sub-licensable right and license to record, reproduce, edit, distribute, publish, exhibit, broadcast, transmit, and otherwise use the Interview Materials (including audio, video, and still images) in any media now known or hereafter devised, in whole or in part, for any purpose including but not limited to promotion, advertising, educational use, archival, and commercial exploitation.

Interviewee waives any right to inspect or approve finished materials or any promotional copy and releases Producer from any claims for royalties or other compensation related to such uses. Interviewee hereby waives and releases all so-called moral rights or rights of attribution to the extent permitted by law.

Authorized Uses (select all that apply):
Broadcast   Online/Streaming   Social Media   Print/Still Images   Educational/Non-commercial   Archival/Library

Payment Terms

Compensation Amount: $

Late Fee: . Producer may recover reasonable collection costs, including attorneys' fees, for unpaid amounts.

Term and Termination

Term Commencement Date:    Term End Date (if any):

Termination: This Agreement may be terminated only for material breach by either party that is not cured within days after written notice. Termination shall not revoke or limit rights granted to Producer with respect to materials created prior to termination.

Confidentiality

The parties acknowledge that certain information disclosed in connection with the interview may be confidential. Confidential Information shall mean information that is identified in writing as confidential at the time of disclosure or that a reasonable person would understand to be confidential. Producer will not disclose Confidential Information except as required by law or as necessary to exercise rights under this Agreement. Confidentiality obligations do not apply to information that (a) is or becomes publicly available other than through a breach of this Agreement, (b) is independently developed by Producer, or (c) is lawfully obtained from a third party without restriction.

Representations, Warranties and Indemnification

Interviewee represents and warrants that Interviewee has the full right, power, and authority to enter into this Agreement and to grant the rights granted herein; that Interviewee's statements and performance will not violate any rights of any third party; and that no further consents are required to permit Producer to exercise the rights granted. Interviewee shall indemnify, defend and hold harmless Producer from and against any claims, liabilities, losses, and expenses (including reasonable attorneys' fees) arising out of any breach of the foregoing representations and warranties.

Governing Law and Entire Agreement

This Agreement shall be governed by and construed in accordance with the laws of the state specified by Producer at the time of execution. This Agreement constitutes the entire agreement between the parties relating to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, and representations, whether written or oral. Any amendment must be in writing and signed by both parties.

Miscellaneous Provisions

Severability: If any provision of this Agreement is held invalid, illegal, or unenforceable, the remaining provisions shall remain in full force and effect. Assignment: Producer may assign this Agreement, in whole or in part, to any successor or affiliate. Waiver: Failure to enforce any provision will not constitute a waiver of that provision.

Acknowledgment

By signing below, Interviewee acknowledges that they have read this Release, fully understand its terms, have had an opportunity to ask questions, and sign it voluntarily and without coercion.

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