MODEL RELEASE
To Otoko Entertainment LLC: For value received,
receipt of which I acknowledge, and with knowledge that you intend to act in
reliance hereon, I irrevocably give you, your successors, assignees, licensees
and anyone acting with your consent, all right, title and interest, including
all copyright and other literary property, commercial and publication rights
(i) in and to any and all depictions of my likeness (whether created or issued
as stills, motion pictures or on video tape or other media known or unknown at
this time) in which I may be included, including any reproductions thereof made
in any form or manner, and (ii) my name (whether real or fictitious), my voice,
my signature, performance, likeness and any biographical material pertaining to
me (i) and (ii) being collectively the “Materials”). You have the absolute
right and permission to use, reuse, publish, republish, exhibit, display,
print, reprint, distribute and copyright in whole or in part any of the
Materials, without restriction as to changes, distortions or transformations.
The Materials may be used for editorial, advertising, art, promotion, trade or
any other lawful purpose whatsoever in any and all media or forms known
(including, but not limited to, digital and electronic) or unknown at this
time, in perpetuity worldwide and without restrictions.
I hereby waive any right to inspect, approve or
object to the Materials, or the editorial, visual, advertising copy or the
printed material that may be used in conjunction therewith and the use to which
such depictions, likeness or reproductions, or any of the foregoing may be
applied, and acknowledge that Otoko Entertainment LLC is under no obligation to
utilize the Materials.
I hereby release, discharge and agree to save Otoko
Entertainment LLC, its successors, assignees, licensees or anyone acting with
Otoko Entertainment LLC’s consent harmless from any liability by virtue of any
blurring, distortion, alteration, optical illusion or use in composite form,
whether intentional or otherwise, that may occur or be produced in taking or
reproducing the Materials. I AM 18 YEARS OF AGE OR OLDER, AND WAS SO ON THE
DATE THE DEPICTIONS OF ME TO WHICH THIS RELEASE APPLIES WERE TAKEN OR HAVE HAD
THIS RELEASE SIGNED BY MY PARENT OR GUARDIAN.
Signed: Date:
Social Security Number:
Name:
Address:
City/State/Zip: Telephone:
E-mail address:
FRIEND/RELATIVE WHO CAN
ALWAYS FIND YOU:
Name: How Related:
Address:
City/State/Zip: Telephone:
I, as parent or guardian of the minor who signed the above release, consent to the signing of such release, and agree to defend and hold the beneficiaries of the release harmless against any claim that the minor may make (before or after reaching the age of majority) because of the use of the photographs in any manner permitted by such release. I fully understand that the beneficiaries of the release are and will be relying upon my agreement and signature which are intended to induce them to accept the release.
Signed: Date: