Free model release form 05Free model release form 05
Download the document to the computer for easy use
There are more pages to preview,Read on

Collaborative Summer Library
Program
953 6th Place SE
Mason City, IA 50401-5261

641-423-0005 voice
641-424-5120 fax
866-657-8556 toll free

http://www.cslpreads.org

Model Release Form for Publication and Video Purposes for the Teen Video Challenge
This release is a binding contract between the undersigned and Collaborative Summer Library Program (“CSLP”). It insures to
the benefit of and binds both parties’ heirs, successors, representatives and assigns.
Each member of a team that submits a video or, who appears in the video, must sign a release.
Subject of Release. “Material” refers to all video, images, photographs, mixed media, music, text and other forms of
copyrighted material that I supply to CSLP.
License. I grant CSLP an irrevocable, perpetual, world-wide, royalty-free, sub-licensable, transferable, non-exclusive license to
use, reproduce, distribute, publish, prepare derivative works, display, perform, and otherwise exploit the Material in any media
form.
Name and Likeness.