MEDIA RELEASE FORM

This Media Release (“Release”) is made by and between FULLNAME located at ADDRESS (“Releasor”) and ACCOUNT_JOB_COMPANY; ?> located at ACCOUNT_JOB_ADDRESS_SINGLE_LINE (“Releasee”) and is made effective on 29 April 2024.

The Releasor hereby grants and authorises Releasee the right to edit, enhance, crop, alter, modify, amend, copy or otherwise make use of all photograph, video footage, image, likeness, and voice (collectively "Media") taken of the Releasor, for use in any of the Releasee’s publications or any for use in any other manner the Releasee desires, without any consideration or other payment.

This grant of authorisation includes publications by the Releasee’s on mediums including, but not limited to, the Internet, e-mail, magazines, flyers, newsletter and/or advertisements. 

The Releasor understands and agrees that all Media are the property of the Releasee and will not be returned to the Releasor.

The Releasor hereby waive the right to any compensation, including but not limited to any royalties, arising from the use of the Media.

The Releasor, hereby agrees, to hold harmless, release and discharge rights to all claims, demands, and causes to action which the Releasor, the Releasor's heirs, representatives, executors, administrators, or any other persons acting on behalf of the Releasor's estate have or may have by reason of this authorisation.

This Release shall continue indefinitely unless the Releasor withdraws the consent provided herein, at any time by writing by email to the Releasee at ACCOUNT_EMAIL or by post to ACCOUNT_JOB_ADDRESS_SINGLE_LINE

IN WITNESS HEREOF the parties signed this Agreement on the day and year first above written.

 

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