Media Image Release Authorization

MEDIA IMAGE RELEASE AUTHORIZATION

Parties

Recitals

WHEREAS, Releasee intends to photograph, record, reproduce, display, and otherwise use image, audio and/or video of Releasor for promotional, advertising, editorial, archival, educational, and commercial purposes; and

WHEREAS, Releasor is willing to grant to Releasee the rights set forth in this Authorization in consideration of the mutual promises contained herein and other good and valuable consideration.

Scope of Work / Use

Describe the project, the manner of capture, and intended uses. Include editorial or commercial contexts as applicable.

Media Types

Select all media formats that apply to the materials captured pursuant to this Authorization:

Grant of Rights and Release

Releasor hereby irrevocably grants and assigns to Releasee, its licensees, successors, assigns and designees, a worldwide, perpetual, transferable, sublicensable, royalty-free right and license to reproduce, publish, distribute, display, perform, adapt, edit, crop, and otherwise use the captured images, video and audio, in whole or in part, in any media now known or hereafter developed, for any lawful purpose including advertising, publicity, promotion, and commercial exploitation.

Releasor waives any right to inspect or approve finished materials, waives any right of publicity, and releases Releasee from all claims for invasion of privacy, defamation, or any other cause of action arising out of Releasee's use of the materials as permitted by this Authorization.

Compensation / Payment Terms

In consideration for the rights granted herein, Releasee agrees to pay Releasor the compensation described below. If no monetary compensation applies, indicate "No payment."

Term and Termination

This Authorization is effective as of the date of execution by Releasor and, unless otherwise limited below, shall continue in perpetuity with respect to the uses authorized herein. This Authorization may be terminated only as set forth below.

Confidentiality

Confidential information disclosed by either party in connection with the activities described herein shall be treated as confidential and shall not be disclosed to third parties except as required to exercise the rights granted in this Authorization or as required by law. Confidentiality obligations survive termination of this Authorization for a period of three (3) years.

Indemnification

Releasor agrees to indemnify, defend and hold harmless Releasee and its agents, employees and licensees from and against any and all claims, liabilities, damages, losses and expenses (including reasonable attorneys' fees) arising out of any breach of Releasor's representations and warranties in this Authorization or out of Releasor's use of the materials inconsistent with the terms of this Authorization.

Governing Law

This Authorization shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of laws principles.

Entire Agreement and Miscellaneous

This Authorization constitutes the entire agreement between the parties concerning the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings, whether written or oral. Any amendment must be in writing and signed by both parties. If any provision is held invalid, the remaining provisions shall remain in full force and effect.

Representations and Certifications

Releasor represents and warrants that Releasor is over the age of majority, has the full right and authority to grant the rights herein, or if Releasor is a minor, the undersigned parent or legal guardian has full authority to execute this Authorization on the minor's behalf. Releasor further represents that no other consents are necessary and that the exercise of the rights granted will not violate the rights of any third party.

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