Video Release Form

VIDEO RELEASE FORM

Parties

Recitals

WHEREAS, Producer is producing a video production entitled "" (the Production), to be filmed at on or about ;

WHEREAS, Releasor has agreed to participate in the Production by providing services, performance, appearance and/or other contributions as described below; and

WHEREAS, Producer desires a full and irrevocable release and license to use Releasor's name, image, voice, likeness and performance as part of the Production and in connection with distribution, promotion and exploitation of the Production.

Scope of Work

Grant of Rights

Releasor hereby grants Producer, and Producer's licensees, successors and assigns, an irrevocable, perpetual, transferable, sublicensable, worldwide, royalty-free right and license to record, reproduce, edit, modify, distribute, publicly perform and otherwise use Releasor's name, likeness, voice, image, performance and biographical information (collectively, Likeness) in the Production and in any ancillary materials or media now known or hereafter developed, for any purpose including advertising, promotion and exploitation of the Production.

This grant includes the right to create derivative works, to combine Releasor's Likeness with other material, and to use Releasor's Likeness in altered, edited or composite form. Releasor waives any right to inspect or approve the finished product or the use to which the Production may be applied.

Payment Terms

As full consideration for all rights granted and services rendered, Producer shall pay Releasor the sum of USD, payable as follows:

If any payment is not received within days of its due date, Producer may impose a late fee equal to % per month on the overdue balance.

Term and Termination

This Agreement commences on and, unless earlier terminated as provided below, continues until or until the Production and its exploitation are concluded.

Either party may terminate this Agreement for material breach by the other party if the breaching party fails to cure the breach within days after written notice. Termination will not affect Producer's rights in materials created prior to termination.

Confidentiality

Releasor agrees to keep confidential and not disclose any non-public information concerning the Production or Producer's business, including shooting schedules, budgets and trade secrets, except as required by law. This obligation survives termination of this Agreement for a period of two (2) years.

Release, Waiver and Indemnification

Releasor releases and forever discharges Producer and its officers, employees, agents, licensees and assigns from any claims, demands, causes of action, suits, liabilities, damages or expenses arising out of or related to Producer's use of Releasor's Likeness in accordance with this Agreement, including any claims for defamation, invasion of privacy or infringement of rights of publicity.

Releasor shall indemnify, defend and hold harmless Producer against any third-party claim arising out of Releasor's breach of any representation, warranty or covenant in this Agreement or arising out of Releasor's acts or omissions in connection with the Production.

Representations and Warranties

Releasor represents and warrants that Releasor has the full legal right and authority to enter into this Agreement and to grant the rights granted herein, and that the exercise of such rights will not violate the rights of any third party.

Releasor represents that Releasor is at least eighteen (18) years of age. If Releasor is under eighteen (18) years of age, a parent or legal guardian must complete the Parental/Guardian Consent below and sign on behalf of the minor.

Governing Law

This Agreement will be governed by and construed in accordance with the laws of the state of , without regard to conflict of law principles. The parties submit to the exclusive jurisdiction of the courts located in that state for any dispute arising from this Agreement.

Entire Agreement

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous understandings and agreements, whether written or oral. No amendment or modification of this Agreement is effective unless in writing and signed by both parties.

Notices

All notices required or permitted under this Agreement shall be in writing and shall be delivered to the contact information provided above for each party.

Acknowledgment

By signing below, Releasor acknowledges that Releasor has read this Agreement in its entirety, understands its contents, has had the opportunity to ask questions, and agrees that the terms are fair and reasonable. Releasor affirms that no other promises, representations or warranties have been made except as expressly set forth herein.

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