Entertainment Release and Waiver

ENTERTAINMENT RELEASE AND WAIVER

PARTICIPANT/RELEASER INFORMATION

Full Legal Name: [________________________________]
Date of Birth: [__/__/____]
Address: [________________________________]
City, State, ZIP: [________________________________]
Phone: [________________________________]
Email: [________________________________]

If Participant is a Minor (under 18):
Parent/Guardian Name: [________________________________]
Relationship: [________________________________]

PRODUCTION/EVENT INFORMATION

Production Company/Event Organizer:
Name: [________________________________]
Address: [________________________________]
City, State, ZIP: [________________________________]

Project/Event Name: [________________________________]

Project/Event Type:
☐ Film/Television Production
☐ Documentary
☐ Reality Show
☐ Live Performance/Concert
☐ Sporting Event
☐ Photoshoot
☐ Promotional Event
☐ Contest/Competition
☐ Festival
☐ Other: [________________________________]

Date(s): [__/__/____] to [__/__/____]
Location: [________________________________]

PART A: APPEARANCE AND LIKENESS RELEASE

1. GRANT OF RIGHTS

I, the undersigned ("Releaser"), hereby irrevocably grant to [________________________________] ("Company"), its successors, assigns, licensees, and legal representatives, the following rights:

☐ Full Release: The perpetual, worldwide, royalty-free right to use, reproduce, modify, distribute, display, and create derivative works from my:

• Name (including any stage name or nickname)
• Likeness, image, and photograph
• Voice and vocal recordings
• Performance and actions
• Biographical information
• Written or spoken statements

(collectively, "My Likeness")

in any and all media now known or hereafter developed, including but not limited to:

• Film, television, and video productions
• Streaming and digital platforms
• Websites and social media
• Print materials and publications
• Advertising and promotional materials
• Merchandise and products
• Radio and podcast

☐ Limited Release: Rights granted only for the following specific purposes:
[________________________________]
[________________________________]

2. EDITING AND MODIFICATION

I understand and agree that Company may:

☐ Edit, alter, or modify My Likeness in any manner
☐ Combine My Likeness with other materials
☐ Use My Likeness in whole or in part
☐ Use My Likeness without identifying me by name
☐ Create composite or fictional portrayals using My Likeness

☐ Limitations on modification:
[________________________________]

3. NO APPROVAL RIGHTS

☐ I waive any right to inspect or approve the finished product or materials incorporating My Likeness.

☐ I retain the right to approve materials before public release.

4. NO COMPENSATION

☐ I acknowledge that I will receive no compensation for the use of My Likeness beyond:
$[________________________________] (if any)

☐ I acknowledge that participation is voluntary and unpaid.

☐ My compensation is governed by a separate agreement dated [__/__/____].

5. OWNERSHIP

I acknowledge that Company shall own all rights in any recordings, photographs, or materials containing My Likeness created under this Release. Such materials shall constitute "works made for hire" under applicable copyright law, and to the extent they do not, I hereby assign all rights to Company.

PART B: LIABILITY WAIVER AND RELEASE

6. ASSUMPTION OF RISK

I understand that participation in [________________________________] ("the Activity") involves certain inherent risks, including but not limited to:

☐ Physical injury (minor or serious)
☐ Property damage or loss
☐ Emotional distress
☐ Exposure to communicable diseases
☐ Exposure to loud noise
☐ Exposure to strobe lighting or special effects
☐ Physical exertion and fatigue
☐ Weather-related risks (for outdoor events)
☐ Risks associated with travel
☐ Other: [________________________________]

I VOLUNTARILY ASSUME ALL SUCH RISKS, both known and unknown.

7. RELEASE OF LIABILITY

TO THE FULLEST EXTENT PERMITTED BY LAW, I, on behalf of myself, my heirs, executors, administrators, and assigns, hereby:

RELEASE, WAIVE, AND FOREVER DISCHARGE:

[________________________________] ("Company") and its:

• Officers, directors, and employees
• Contractors, agents, and representatives
• Sponsors and partners
• Venue owners and operators
• Successors and assigns

(collectively, "Released Parties")

FROM ANY AND ALL CLAIMS, DEMANDS, ACTIONS, AND CAUSES OF ACTION arising from or related to my participation in the Activity, including but not limited to claims for:

☐ Personal injury (including death)
☐ Property damage or loss
☐ Emotional distress
☐ Invasion of privacy
☐ Defamation or false light
☐ Breach of contract
☐ Negligence (but NOT gross negligence or intentional misconduct)

8. COVENANT NOT TO SUE

I agree not to sue or bring any legal action against the Released Parties for any claims released herein.

9. INDEMNIFICATION

I agree to INDEMNIFY, DEFEND, AND HOLD HARMLESS the Released Parties from any claims, damages, losses, costs, and expenses (including reasonable attorneys' fees) arising from:

☐ My participation in the Activity
☐ My breach of this Release
☐ My negligent or intentional acts
☐ Claims by third parties arising from my actions

10. MEDICAL AUTHORIZATION

☐ In case of emergency, I authorize Company to obtain medical treatment on my behalf. I agree to be responsible for any costs associated with such treatment.

☐ I decline emergency medical authorization (complete alternative contact below):
Emergency Contact: [________________________________]
Phone: [________________________________]

11. HEALTH REPRESENTATIONS

I represent that:

☐ I am in good physical health and able to participate in the Activity
☐ I have no medical conditions that would prevent safe participation
☐ I have disclosed the following relevant medical conditions:
[________________________________]
☐ I have consulted with a physician regarding my participation

PART C: CONFIDENTIALITY AND NON-DISCLOSURE

12. CONFIDENTIALITY OBLIGATIONS

I agree to keep confidential and not disclose:

☐ The content, storyline, or creative elements of the production
☐ Behind-the-scenes activities and information
☐ Names and personal information of other participants
☐ Business information of Company
☐ The terms of this Release
☐ Other: [________________________________]

Duration: Confidentiality obligations shall continue:
☐ Indefinitely
☐ Until public release of the production
☐ For [____] years from the date hereof

13. NON-DISPARAGEMENT

I agree not to make any disparaging statements about Company, the production, or any persons involved in the production.

PART D: ADDITIONAL TERMS

14. REPRESENTATIONS AND WARRANTIES

I represent and warrant that:

☐ I am at least 18 years of age OR have obtained parental/guardian consent
☐ I have the legal right to grant the rights contained herein
☐ I am not bound by any agreement that conflicts with this Release
☐ All information I have provided is true and accurate
☐ I am entering into this Release voluntarily
☐ I have read and understand this Release in its entirety

15. GOVERNING LAW

This Release shall be governed by the laws of the State of [________________________________], without regard to conflicts of law principles.

16. DISPUTE RESOLUTION

Any dispute arising from this Release shall be resolved by:

☐ Binding arbitration in [________________________________]
☐ Litigation in courts of [________________________________]

17. SEVERABILITY

If any provision of this Release is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

18. ENTIRE AGREEMENT

This Release constitutes the entire agreement between the parties regarding the subject matter hereof. This Release may not be modified except in writing signed by both parties.

19. BINDING EFFECT

This Release shall be binding upon my heirs, executors, administrators, successors, and assigns, and shall inure to the benefit of Company and its successors and assigns.

ACKNOWLEDGMENTS

PLEASE READ CAREFULLY BEFORE SIGNING

I ACKNOWLEDGE THAT:

☐ I have read this entire Release and understand its contents

☐ I am signing this Release voluntarily and of my own free will

☐ I understand that I am giving up substantial legal rights by signing this Release

☐ I have had the opportunity to ask questions and have them answered

☐ I have been advised to consult with an attorney before signing

☐ I understand that Company is relying on this Release in allowing my participation

☐ I am aware that this Release includes a waiver of claims for negligence

☐ I understand the inherent risks involved in the Activity

☐ I have received a copy of this Release for my records

SIGNATURES

PARTICIPANT/RELEASER (Age 18 or older):

BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ, UNDERSTAND, AND AGREE TO BE BOUND BY ALL TERMS OF THIS RELEASE.

Signature: ________________________________

Printed Name: [________________________________]

Date: [__/__/____]

PARENT/LEGAL GUARDIAN (Required if Participant is under 18):

I am the parent or legal guardian of the minor named above. I have read this Release and understand its contents. On behalf of the minor and myself, I agree to all terms of this Release and consent to the minor's participation.

I understand that I am waiving legal rights on behalf of the minor.

Parent/Guardian Signature: ________________________________

Printed Name: [________________________________]

Relationship to Minor: [________________________________]

Date: [__/__/____]

WITNESS (Recommended):

Witness Signature: ________________________________

Printed Name: [________________________________]

Date: [__/__/____]

FOR COMPANY USE ONLY

Received by: [________________________________]

Date: [__/__/____]

Project: [________________________________]

Release Number: [________________________________]

Notes: [________________________________]

EXHIBIT A: SPECIFIC ACTIVITY DESCRIPTION

Description of Activity:
[________________________________]
[________________________________]
[________________________________]

Specific Risks Disclosed:
[________________________________]
[________________________________]
[________________________________]

Special Conditions or Limitations:
[________________________________]
[________________________________]

EXHIBIT B: PHOTO/VIDEO CONSENT DETAILS

Specific Uses Authorized:
☐ Documentary film titled: [________________________________]
☐ Television program titled: [________________________________]
☐ Marketing campaign for: [________________________________]
☐ Social media promotion
☐ Website content
☐ Other: [________________________________]

Duration of Use:
☐ Perpetual
☐ [____] years from date of first use
☐ Other: [________________________________]

Territory:
☐ Worldwide
☐ United States only
☐ Other: [________________________________]

EXHIBIT C: COMPENSATION DETAILS (if applicable)

Payment Method: [________________________________]

Payment Due Date: [__/__/____]

STATE-SPECIFIC NOTICES

CALIFORNIA RESIDENTS:

Pursuant to California Civil Code Section 1542, I expressly waive any rights or benefits under that section, which provides:

"A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement with the debtor or released party."

Initials: [____]

NEW YORK RESIDENTS:

I acknowledge that certain liability waivers may be unenforceable in New York, particularly those attempting to waive liability for gross negligence or intentional misconduct.

Initials: [____]

OTHER STATE-SPECIFIC PROVISIONS:

[________________________________]
[________________________________]

EMERGENCY CONTACT INFORMATION

Emergency Contact Name: [________________________________]

Relationship: [________________________________]

Phone (primary): [________________________________]

Phone (alternate): [________________________________]

Known Allergies or Medical Conditions:
[________________________________]
[________________________________]

Current Medications:
[________________________________]

Insurance Provider: [________________________________]

Policy Number: [________________________________]

This Release is a legal document. By signing, you are agreeing to waive certain legal rights. You are advised to read this document carefully and consult with an attorney before signing. If you do not understand any part of this Release, ask questions before signing. Keep a copy of this signed Release for your records.

IMPORTANT NOTICE: Some states have laws limiting the enforceability of certain waiver provisions. This Release is intended to be enforced to the fullest extent permitted by applicable law. If any provision is found to be unenforceable, the remaining provisions shall remain in effect.