Original artwork release form

This artwork release is made by , an individual a(n) (the "Owner"), in favor of , an individual a(n) (the "Filmmaker").

1. PERMISSION TO USE ARTWORK.

In consideration of the payment of $ , t T he Filmmaker may photograph, reproduce, and use (the "Use") a entitled and a photo of which is attached to this release as Exhibit A ] (the "Artwork") for the purpose of making and distributing a feature film short film independent film tentatively entitled (the "Film"). The Owner grants the Filmmaker any further rights that may be required to effectuate the Use and understands that the Filmmaker will proceed in express reliance on this release.

2. RIGHTS AND OBLIGATIONS.

The Filmmaker shall solely own all interest in the Film and promotional material for the Film, including all copyrights. The Owner will have no ownership or other rights, including rights of inspection or approval, in or to the Film. The Filmmaker shall have the right to distribute, exhibit, market, advertise, publicize, and otherwise exploit the Film, including any images of the Artwork, by any title, in all media, now known or unknown, in perpetuity, throughout the world (the "Exploitation"). Nothing in this release obligates the Filmmaker to (a) cause the Exploitation, (b) pay any money with respect to the Exploitation, or (c) use the Artwork in the Film in a certain manner or at all.

3. RELEASE.

The Owner hereby releases the Filmmaker from any liability arising from the Use, including that based on invasion of privacy or publicity, defamation, or copyright.

4. OWNER'S REPRESENTATIONS.

The Owner hereby represents that:

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The Owner is signing this release on the date stated opposite its signature.

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EXHIBIT A
Include a photograph of the Artwork here