Video Documentary Interview Release Form
VIDEO DOCUMENTARY INTERVIEW RELEASE FORM
My signature below will confirm my agreement with filmmaker/photographer,
_____________________________, her legal representatives and assigns and SUNY
New Paltz regarding the disposition of video documentary and photographs of interviews
conducted with me, _______________________, on (date) ____________ for
______________ (title of project).
I understand that the tapes both of me and, if applicable, my property at
________________________________________, and transcripts (if transcribed) of the
interview(s) will be maintained and made available indefinitely by the
filmmaker/photographer for such research, production (e.g., radio, television, film
festivals, World Wide Web, exhibitions, related advertisements), and educational
purposes as the filmmaker/photographer shall determine.
I hereby grant, and transfer to the filmmaker/photographer all rights, title, and interest in
the interview and video documentary, including without limitation the literary rights and
the copyright. I hereby release filmmaker/photographer, her legal representatives and
assigns, and SUNY New Paltz from all claims and liability relating to said documentary
The filmmaker/photographer agrees to retain the integrity of the interviewee's image and
voice, neither misrepresenting the interviewee's words nor taking them out of context.
I attest that I have voluntarily agreed to be interviewed and that this document contains
the entire and complete agreement concerning the use and preservation of my interview.
Signature of Interviewee: _________________________ Date____________
Signature of Interviewer: _________________________ Date____________
Video Documentary Interview Release Form PDF
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