Fill and Sign the Photo Release or Model Release Forms Free Legal Documents

-1- 11.10 Form: Right of Publicity: Picture and Name Release For valuable consideration received, I, ______________________________ (print full name), hereby irrevocably grant to Net-Wide Entertainment, its subsidiaries, affiliates, nominees, licensees, their successors and assigns, and those acting with its authority (hereinafter collectively referred to as "NWE"), with respect to the photographs, film or tape taken of me by or on behalf of NWE (the "Pictures"), the unrestricted absolute, perpetual, worldwide right to: (1) Reproduce, copy, modify, create derivatives in whole or in part, or otherwise use the Pictures or any part thereof in combination with or as a composite of other matter, including, but not limited to, text, data, images, photographs, illustrations, animation and graphics, video or audio segments of any nature, in any media or embodiment, now known or hereafter to become known, including, but not limited to, all formats of [computer readable electronic, magnetic, digital, laser or optical-based media] (the "Work"), and (2) Use and permit to be used my name, whether in original or modified form, in connection with the Work as NWE may choose, and (3) Display, perform, exhibit, distribute, transmit or broadcast the Works by any means now known or hereafter to become known, including, without limitation, on NWE's site on the World Wide Web portion of the Internet, located at http://www.__________.com. -2- Waiver and Release I hereby waive all rights and release NWE from, and shall neither sue nor bring any proceeding against any such parties for, any claim or cause of action, whether now known or unknown, for defamation, invasion of right to privacy, publicity or personality or any similar matter, or based upon or relating to the use and exploitation of the Pictures. I agree that there shall be no obligation to utilize the authorization granted by me hereunder. The terms of this authorization shall commence on the date hereof and be without limitation. I warrant and represent that I am __________ (insert "under" or "over") the age of eighteen years and that I am free to enter into this agreement.____________________________ ___________________________ Signature Signature of Witness____________________________ ____________________________ Print Name Print Name of Witness______________________ Social Security Number______________________Address______________________Address______________________Date -3- NOTE: If under the age of eighteen years, have both parents or legal guardian execute the following: We approve and agree to the foregoing. Our __________ (insert "son," "daughter" or "ward") is __________ years of age. ____________________________ _________________________ Signature of Parent/Guardian Signature of Witness ________________________ _________________________ Date Date _____________________ Signature of Parent_____________________Date