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Media Release Form

Only needs to be submitted once per member

MEDIA RELEASE FORM


1. Consent. I, (the “Subject”, whose name is printed below), for good and valuable consideration, the adequacy of which is acknowledged, with the understanding that LATIN HEAT MOVES (the “Producer”) will invest substantial time and expense to produce certain audio and/or visual works in reliance upon this document does hereby consent to participation in said production and to being personally identifiable in the resulting media, regardless of production method, including, without limitation, digital and analog photography and videography, and audio recordings (the “Media”) whether captured or created by Producer directly, or by those acting under Producer’s direction.


2. Consideration and Release. Subject completely and forever release any current and future financial interest in and any physical or intellectual control of the Media to Producer and Producer’s heirs, successors, and assigns so that they may use the Media freely and at their discretion, without the need to obtain my permission or to provide me with any compensation.


3. Authorization and Waiver. Subject authorizes the universal and unrestricted reproduction of Subject’s voice and/or likeness in connection with the use or manipulation of the Media by Producer, Producer’s heirs, successors, assigns, and designees, and those acting with Producer’s permission and authority, in any form now existing or yet to be invented, for all purposes, including, without limitation, transmission, advertising, art, promotion, solicitation, or trade. Additionally, Subject waives any right to approve the eventual use or purpose to which the Media may be applied; or to inspect or approve the finished images, videos, advertising copy, artwork, materials, or other audio or visual matter resulting from the Media’s implementation, use, or manipulation, whether in its original form or processed, altered, blurred, distorted, combined with, or used in conjunction with any other media, and will hold Producer, Producer’s heirs, successors, assigns, and designees harmless and indemnify same against any claims or demands arising therefrom.


4. Entire Agreement. This agreement constitutes the sole and complete agreement between Producer and Subject and shall be governed by the laws of the state of New Jersey. Subject is not relying on any other warranty, guarantee, or representation, whether oral or written.

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