Media Release Authorization Form

MEDIA RELEASE AUTHORIZATION FORM

Recitals

WHEREAS, Client Name: desires production, distribution or publication of certain photographic, video, audio or other media content (the "Media");

WHEREAS, Producer Name: will capture, create and/or use the Media for Client pursuant to the terms set forth below;

WHEREAS, Subject/Participant Name: acknowledges and agrees to grant the rights and releases set forth in this Authorization dated on .

Scope of Work

Describe the Media, services, location, and permitted uses in detail. Include formats, intended distribution channels, notable deliverables, and any usage restrictions.

Grant of Rights and Release

Subject hereby irrevocably grants to Producer, its licensees, successors and assigns a perpetual, worldwide, royalty-free, sublicensable right and license to record, reproduce, edit, alter, distribute, publish and otherwise use the Media in any form or media now known or hereafter developed for any purpose related to the Project, including advertising, promotion and archival purposes. Subject waives any moral rights or similar claims in respect of the Media and releases Producer from any claims for invasion of privacy, defamation or misappropriation arising from Producer's use of the Media within the scope of this authorization.

Payment Terms

If any payment is not made when due, Producer may suspend use of the Media and pursue all available remedies. Subject will be responsible for reasonable costs of collection, including attorneys' fees.

Term and Termination

This Authorization commences on Start Date: and continues until End Date: , unless earlier terminated in accordance with this section.

Either party may terminate this Authorization for material breach if such breach is not cured within the notice period. Upon termination, Producer's rights in Media created prior to termination survive and Producer may continue to use Media created prior to termination as permitted hereunder.

Confidentiality

Except as required for permitted uses of the Media, the parties shall treat as confidential any non-public information plainly designated as confidential in writing by the other party. Confidential information shall not include information that is or becomes publicly available through no fault of the receiving party.

Representations, Warranties and Indemnity

Each party represents that it has full right, power and authority to enter into this Authorization. Subject represents that use of the Media as permitted by this Authorization will not violate the rights of any third party. Subject agrees to indemnify and hold harmless Producer from any claims, liabilities or expenses (including reasonable attorneys' fees) arising from a breach of these representations.

Governing Law

This Authorization shall be governed by and construed in accordance with the laws of the State or jurisdiction of:

Entire Agreement

This Authorization, together with any exhibits or attachments expressly incorporated herein, constitutes the complete and exclusive statement of the agreement between the parties with respect to the subject matter and supersedes all prior proposals, negotiations, representations or agreements, whether oral or written. Any amendments must be in writing and signed by both parties.

Contact Information

Additional Provisions

Survival: The provisions regarding ownership, licenses, indemnity, confidentiality and governing law shall survive termination or expiration of this Authorization. Assignment: Producer may assign its rights and obligations hereunder to any affiliate or successor without further consent from Subject, provided such assignment does not materially increase Subject's obligations.

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