RELEASE and AUTHORIZATION to PHOTOGRAPH or OTHERWISE RECORD

I, ______________________________ the undersigned, do hereby consent to being photographed or otherwise recorded by___________________________ or any of its affiliates, and I also give permission to put the finished photographs, films, or videotapes, to any legitimate uses it may deem proper.
Further, I hereby relinquish and give to ________________________________________________
all right, title and interest I may have in the finished pictures, negatives, reproductions and copies of the original prints and negatives, and further grant ____________________________________________
the right to give, sell, transfer and exhibit the negatives, original prints or copies and facsimiles thereof to any individual, business firm, or publication or to any of their assignees and to circulate the same for any and all purposes and in any manner, including publications and advertisements of all kinds in all media.
I, the undersigned, do hereby further agree and acknowledge that I have not, and will not claim to have, either under this agreement or otherwise, any right, copyright, title, or interest of any kind or nature whatsoever, in and to any program of films or videotapes taken by in which I appear, including but
not limited to the scripts, title, copyright, ideas, names, theses and / or the other characteristics and incidents of any such program of ____________________________________________________
its successors, agents, licenses, customers and assigns.
I further hereby release , __________________________________________________
its associates, successors and assignees, from any and all claims for damages for libel, slander, invasion of the right of privacy, or any other claim based on the use of said material.
This release is made on behalf of myself, my heirs, executors, administrators and assigns, and is to be governed by the laws of the State of ____________________________________.

Signature________________________________

Date ____________________________________

Witness _____________________________________