Media Release Audio Video Consent

MEDIA RELEASE — AUDIO/VIDEO CONSENT AND AGREEMENT

Agreement Date:

Parties

Participant Email:    Phone:

WHEREAS

WHEREAS Producer intends to photograph, film, record, and otherwise capture audio, video, and photographic material (collectively, the "Media") in connection with the project titled: (the "Project");

WHEREAS Participant agrees to participate in the Project and to grant Producer the rights set forth in this Agreement in consideration of the mutual promises and payments described herein;

WHEREAS the parties desire to set forth the terms under which the Media may be produced, used, distributed, and otherwise exploited.

Scope of Work

Grant of Rights and Release

Participant hereby irrevocably grants to Producer, its affiliates, licensees, successors and assigns, a perpetual, worldwide, transferable, sublicensable, royalty-free right and license to record, edit, copy, reproduce, distribute, perform, display, adapt, modify, publish and otherwise use the Media and Participant's name, voice, image, likeness, performance, and biographical material (collectively, "Likeness") in all media now known or hereafter devised for any purpose, including but not limited to advertising, promotion, publicity, distribution, and exploitation of the Project.

Participant releases and forever discharges Producer from any claims, demands, causes of action, and liabilities arising out of or in connection with the use, editing, distortion, or alteration of the Media or Likeness, including claims for invasion of privacy, defamation, or violation of any publicity rights, except where caused by Producer's gross negligence or willful misconduct.

Permitted Uses (check all that apply):
Promotional / Marketing   Broadcast / Streaming   Educational / Training   Archival / Internal

Payment Terms

Term and Termination

Term Commencement Date:    Term End Date:

Either party may terminate this Agreement for material breach by the other party following thirty (30) days' prior written notice and opportunity to cure. Termination shall not revoke Producer's rights in Media already created and distributed prior to termination, and accrued payment obligations shall survive termination.

Confidentiality

The parties acknowledge that certain information disclosed in connection with the Project may be confidential. Each party agrees to keep confidential any materials or information expressly designated in writing as confidential by the disclosing party and not to disclose such information except as required by law or with prior written consent. Confidential information does not include information that is or becomes publicly available through no breach by the receiving party, independently developed, or rightfully obtained from a third party without restriction.

Warranties, Indemnity and Liability

Participant represents and warrants that Participant has the full right, power and authority to enter into this Agreement and to grant the rights herein. Participant shall indemnify, defend and hold harmless Producer from and against any and all claims, liabilities, losses and expenses (including reasonable attorneys' fees) arising out of Participant's breach of any representation or warranty, or any third-party claim related to Participant's participation. Producer's liability to Participant for any claim arising out of this Agreement shall be limited to direct damages and shall not include consequential, incidental, punitive or exemplary damages.

Minor Participant

Participant is a minor under 18 years of age: Yes

If Participant is a minor, Parent/Guardian consents and signs below and warrants authority to enter into this agreement on behalf of the minor.

Governing Law; Entire Agreement

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles. The parties agree that jurisdiction and venue for any disputes shall be in the state and federal courts located in that state.

This Agreement constitutes the entire agreement between the parties concerning its subject matter and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written. Any modification must be in a writing signed by both parties.

Miscellaneous

If any provision of this Agreement is held unenforceable, the remaining provisions shall remain in full force and effect. Headings are for convenience only and do not affect interpretation. The parties acknowledge they have read and understood this Agreement and have had the opportunity to seek independent legal advice.

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