Model Release and Copyright Notice
I__________, the undersigned, hereby give Capital Media Group Inc (CMG) [ dba: Mission Critical Health (MCH) ] (here known as "Producer") and its affiliates (and assignees) my full permission to be interviewed, photographed, recorded and/or videotaped, including any performance, in connection with the publication/product/video/website/event described below.
I hereby authorize and grant CMG an irrevocable, royalty-free, perpetual, worldwide, exclusive right and license to copyright, publish, reproduce, exhibit, broadcast, adapt, edit, display, transmit and otherwise use and permit others to use all or any part of such interviews, photographs, recordings, video and/or audiovisual materials in any manner, media or form whatsoever now or hereafter created for [any purpose including promotional and educational purposes only (not for sale or license for a fee), and to use my name [email address, social media handle] and affiliation, as specified below, for identification purposes, without further consent from or compensation to me or any third party, unless prohibited by law.
I represent and warrant that I am familiar with all applicable conflict of interest and outside compensation laws and regulations as well as policies and rules of my employer or institution (if applicable), and the terms of this Agreement and my performance under this Agreement, is and will be in compliance with those laws, regulations, policies and rules.
I understand that CMG may upload, repurpose, post or publish such materials, or any portion thereof, as it sees fit, including without limitation on its publicly viewable websites, YouTube, Vimeo channels, Facebook pages and other websites and social media platforms at CMG’s sole discretion.
I understand that such materials are the sole property of CMG and I hereby waive any right of inspection, review or approval thereof.
Participant agrees the content or production materials they provide to Capital Media Group or Mission Critical Health will not violate or infringe upon the trademark, trade name, copyright, patent, literary, artistic, personal, private, civil or property right or the right to privacy or any other right of any person, firm or corporation. The final video produced by CMG or MCH and the publicity materials delivered by Producer will not contain any material which is copyright protected or libelous.
I hereby release and discharge CMG and its employees, licensees, agents, successors and assigns from any and all claims, demands or causes of action that I may now have or may hereafter have arising out of or relating to any use of my name, comments, voice or image, including without limitation libel, copyright, moral rights, rights of privacy and any claims relating to descriptions of a biographical nature. I understand this release will survive me, and I intend that my estate be bound by this release.
In consideration of all of the above, I hereby acknowledge receipt of reasonable and fair consideration from Producer. I have read the foregoing, understand and agree to its terms and stipulations.
We encourage participants to review our editorial guidelines.
Notice To On-Camera Interviews
Mission Critical Health
is informative, editorial and educational
programming provided to broadcasters
and distributors. Therefore, interviewee(s)
and participant(s) are asked to complete
a model release form. On-Camera interviewees
participating in MCH programs or client-related productions agree the video production for which they are interviewed may be edited, at the
sole discretion of the Producer, for
any and all broadcasts, in any manner
or media, in perpetuity, throughout the
world. The
interviewee explicitly grants to the
photographer, the Producer and to
his/her assignees and licensees the absolute
right and permission to use, edit, broadcast
and publish the photograph(s) and/or image(s)
referred to above, in which the intervewee is included,
in any medium, throughout the world,
without any restriction whatsoever as
to the nature of the use or publication
or as to the copy of any printed matter
accompanying the photograph(s) and/or image(s).
The participant understands that the photograph(s) and/or image(s) may be altered
and patricipant waive the right to approve of any
finished product. I understand that I
do not own the copyright of the photograph(s) and/or image(s).
I certify that I am over 18 years of
age and that I have the full legal right
to execute this agreement. Each
Mission Critical interviewee or on-camera
participant agrees to the above statement.
Copyright Protected Videos, Graphics, and Artwork
All elements provided to the Producer for the production of a video
must be accompanied by a completed copyright release form.
No copyright protected content herein may be reused or redistributed
by electronic or print means without
the express written release from the participant or the copyright holder prior to utilization by Producer.
Participant agrees to provide to Capital Media Group or Mission Critical Health completed copyright release forms for each copyright protected item to be utilized within a production. CMG will not violate or infringe upon the trademark, trade name, copyright, patent, literary, artistic, personal, private, civil or property right or the right to privacy or any other right of any person, firm or corporation. The final video(s) produced by Producer and the publicity materials delivered by Producer will not contain any material which is defamatory or libelous.
How do we keep current?
From time to
time, CMG may revise this release form at its discretion. We note the date of
the policy below, so you know when it
was last updated. CMG advises you to check
back periodically to review the Privacy
Policy and Release Forms because users of the site will
be prospectively bound by the then-current
version of this Privacy Policy.
Updated January 2020
info@cmghd.com
Psalm 90:17.