Fillable Printable Simple Artwork Release Form

Simple Artwork Release Form

Release Form – Artwork

For good and valuable consideration the receipt of which is hereby acknowledged, I, the Artist (defined

below), do hereby irrevocably grant the right and license to the unlimited use of my Artwork (defined below)

by Filmmaker (defined below) and their affiliated companies, successors, assigns and licensees for use and

display in the Video (defined below), which Video may be displayed and/or broadcast for any purpose in any

and all media now known or hereafter developed throughout the world, without limitation as to duration or

frequency of use.

I represent that I am the author of and owner of all rights in and to the Artwork and that I have the sole and

exclusive right to make the within grant of rights, including but not limited to moral rights, that neither I nor

anyone else has any contractual or other arrangements which will interfere with rights herein granted and

warrant that the rights herein granted will not infringe on the rights of any third party and that the consent or

permission of no other party is required by Filmmaker, its successors, assigns or licensees in connection with

the use of the Artwork. I agree to indemnify and hold Filmmaker and its divisions, subsidiaries, affiliates,

officers, directors, agents, employees, successors, assigns and licensees harmless from and against any and

all liabilities, damages, suits and expenses (including reasonable attorney's fees and disbursements) arising

out of or in connection with the breach or alleged breach of any representation and/or warranty made

hereunder.

The Filmmaker, its successors, assigns and licensees shall have the right to alter, edit, modify, adapt,

reproduce and illustrate (as appropriate) the Artwork for any use. All right, title and interest in and to the

Video incorporating the Artwork shall be vested in Filmmaker and any of its subsidiary and affiliated

companies, successors, assigns and licensees.

I waive any inspection or approval of the finished material and I release Filmmaker and any of its subsidiary

and affiliated companies, successors, assigns and licensees from any liability for any claim of alteration,

optical illusion or faulty mechanical reproduction.

This agreement constitutes the entire understanding between the undersigned and Filmmaker with respect

to the subject matter herein. Any waiver, modification or addition to this agreement shall not be valid unless

in writing and signed by both parties.

Date: ___________________________________

Signature of Artist ___________________________________

Print Name of Artist ___________________________________

Artist’s Email & Physical Address ___________________________________

Title of Artwork ___________________________________

Signature of Filmmaker ___________________________________

Print Name of Filmmaker ___________________________________

Title of Video ___________________________________

Important: Attach a scan/photo of Artist’s driver’s license or passport for age & identity verification. This

Release Form template must not be modified or edited in any way.