Model Release Form
JAY ROBB ENTERPRISES INC. 11231 US HWY 1, SUITE 350, NORTH PALM BEACH, FL 33408JAYROBB.COM I 1.877.JAY.ROBBMODEL’S CONSENT AND RELEASE
For good and valuable consideration, the receipt of which is hereby acknowledged, I, hereby consent to and grant Jay Robb Enterprises, Inc., and its subsidiaries, affiliates, assigns, licensees, legal representatives, successors-in-interest, and their employees and agents (hereinafter, collectively “Jay Robb”), the irrevocable, unrestricted, absolute right to record and use (including the right to duplicate, publish, distribute, perform, publicly display and create derivative works) and grant others the right to use, in perpetuity throughout the world and in the U.S., my name (or any fictional name), voice, comments, quotations, images, appearance and/or likeness (hereinafter, collectively “Personal Indicia”) in any manner and for any purpose whatsoever, and in all formats or media, known or unknown, and any materials based upon or derived therefrom (collectively the “Materials”).
I understand and agree that the Materials may be published in various media and on the internet, including but not limited to, Facebook, Twitter, Instagram, YouTube, newspapers, magazines, press releases, newsletters, etc. that are open and discoverable to the general public. I understand that once the Materials described herein are disclosed, they may no longer be subject to privacy protections. I understand that the Materials may be cropped, edited, digitalized, converted or otherwise altered in any way and that whether any of them are used, and if so how any are used, is entirely in the discretion of Jay Robb. I hereby relinquish all rights to review the Materials or approve any use of the Materials. I acknowledge that nothing contained herein shall obligate Jay Robb to make use of my Personal Indicia or any of the Materials.
I hereby release Jay Robb from any and all existing or subsequent claims based upon the ownership of and/or use of the Materials, and/or use of Personal Indicia (including, but not limited to any claims for damages for faulty processing, distortion, reproduction, or optical illusion, libel, defamation, infringement of the right of publicity, invasion of privacy, portrayal in a false light, false endorsement, public disclosure of private facts, copyright infringement, or unfair competition or any other claims whatsoever). To the full extent permitted under the law, I hereby waive the benefits of any statute or law that purports to limit the effect of this Consent and Release. I also hereby waive any benefit of any “moral rights” or similar laws or any similar rights. I hereby covenant that I shall not commence or maintain any suit, proceeding, claim or action whatsoever against Jay Robb, whether at law or in equity, in connection with its ownership or use of the Materials or Personal Indicia.JAY ROBB ENTERPRISES INC. 11231 US HWY 1, SUITE 350, NORTH PALM BEACH, FL 33408JAYROBB.COM I 1.877.JAY.ROBBI represent and warrant that I am eighteen (18) years of age or older, I have full authority to grant this consent and release, and that the rights I am granting to Jay Robb do not conflict with any other agreements or legal restrictions. This Consent and Release and all terms thereof shall be binding upon, and inure to, the benefit of the parties, their successors, assigns and executors, administrators, personal representatives and heirs.
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Document Name: Model Release Form
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