On Camera Release Form
I, the undersigned, residing at the address indicated below, do hereby give and grant unto Parley, LLC, and Parley Foundation, (together, and separately, “Parley”), their successors and assigns, and those acting under their permission or upon their authority, full and exclusive permission to copyright, use and publish for any and all commercial and other purposes whatsoever including, by way of example but not limitation, television, new media, internet, video, motion pictures, magazines and newspapers, any and all photographs or photographic prints, film, video, tape, electronic, laser or other optical re- productions of myself (“Images”) or from negatives made of me at their studios or elsewhere, in any and all poses, either in conjunction with or without using my name, and to make changes or alterations in such Images, or additions thereto, as referenced above, and to use the same with testimonial copy, with fictitious name or otherwise, in such manner as Parley shall deem proper.
I hereby release, discharge, and agree to hold harmless Parley in connection with the authorized use of the Images from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, in conjunction with factual or fictional text, whether intentional or otherwise, that may occur or be produced in the taking of such Images or in any subsequent processing or use of them, even though they may subject me to scandal, scorn, ridicule, reproach or indignity, including without limitation any claims for libel or violation of any right of publicity or privacy.
I hereby waive any right to approve the finished Images, or any copies, which might be used in conjunction with the finished Images. I do further certify that I am of full age and am possessed of full legal capacity to execute the foregoing authorization and release, which is hereby made binding upon my heirs, next of kin, and personal representatives.
BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS AGREEMENT AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE COMPANY.