The Releasor:
The Releasee:
Date: (the "Effective Date").
I, the undersigned, hereby grant permission to (the "Releasee") to use my image, likeness, voice, and any other identifiable features in connection with the video project described below:
Title of the video:
Description of the video:
I understand and agree to the following terms:
Grant of rights. I grant the Releasee the irrevocable and unrestricted right and permission to use, reproduce, publish, and distribute the video in any media format for any lawful purpose (the "Release").
Media usage. The video may be used for commercial purposes, promotional materials, online platforms, and any other use deemed appropriate by the Releasee.
Release period. This Release is valid for .
Consideration. I acknowledge that I have received in exchange for my participation and Release.
Revocation. I understand that I do not have the right to revoke this Release.
Warranties and representations. I warrant that I have the right to grant the permissions in this Release and that my participation does not violate the rights of any third party.
Indemnification. I agree to indemnify and hold the Releasee harmless from any claims, damages, or liabilities arising out of the use of my likeness.
Governing law. This Release of Liability will be governed by and construed in accordance with the laws of the State of , except for its conflicts of laws principles. Any disputes arising from or related to this Release of Liability that cannot be resolved by negotiations and mutual agreement shall be resolved by courts of the State of .
I have read and understood the terms of this Media (Video) Release Form and voluntarily agree to its terms and grant the Release on the date hereof.
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Releasor's signature: ____________________________________
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