Simple Artwork Release Form

Release Form – Artwork
For good and valuable consideration the receipt of which is hereby acknowledged, I, the Artist (defined
below), do hereby irrevocably grant the right and license to the unlimited use of my Artwork (defined below)
by Filmmaker (defined below) and their affiliated companies, successors, assigns and licensees for use and
display in the Video (defined below), which Video may be displayed and/or broadcast for any purpose in any
and all media now known or hereafter developed throughout the world, without limitation as to duration or
frequency of use.
I represent that I am the author of and owner of all rights in and to the Artwork and that I have the sole and
exclusive right to make the within grant of rights, including but not limited to moral rights, that neither I nor
anyone else has any contractual or other arrangements which will interfere with rights herein granted and
warrant that the rights herein granted will not infringe on the rights of any third party and that the consent or
permission of no other party is required by Filmmaker, its successors, assigns or licensees in connection with
the use of the Artwork. I agree to indemnify and hold Filmmaker and its divisions, subsidiaries, affiliates,
officers, directors, agents, employees, successors, assigns and licensees harmless from and against any and
all liabilities, damages, suits and expenses (including reasonable attorney's fees and disbursements) arising
out of or in connection with the breach or alleged breach of any representation and/or warranty made
hereunder.
The Filmmaker, its successors, assigns and licensees shall have the right to alter, edit, modify, adapt,
reproduce and illustrate (as appropriate) the Artwork for any use. All right, title and interest in and to the
Video incorporating the Artwork shall be vested in Filmmaker and any of its subsidiary and affiliated
companies, successors, assigns and licensees.
I waive any inspection or approval of the finished material and I release Filmmaker and any of its subsidiary
and affiliated companies, successors, assigns and licensees from any liability for any claim of alteration,
optical illusion or faulty mechanical reproduction.
This agreement constitutes the entire understanding between the undersigned and Filmmaker with respect
to the subject matter herein. Any waiver, modification or addition to this agreement shall not be valid unless
in writing and signed by both parties.
Date: ___________________________________
Signature of Artist ___________________________________
Print Name of Artist ___________________________________
Artist’s Email & Physical Address ___________________________________
Title of Artwork ___________________________________
Signature of Filmmaker ___________________________________
Print Name of Filmmaker ___________________________________
Title of Video ___________________________________
Important: Attach a scan/photo of Artist’s driver’s license or passport for age & identity verification. This
Release Form template must not be modified or edited in any way.
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Simple Artwork Release Form PDF

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