Fillable Printable Video Documentary Interview Release Form

Video Documentary Interview Release Form

VIDEO DOCUMENTARY INTERVIEW RELEASE FORM

My signature below will confirm my agreement with filmmaker/photographer,

_____________________________, her legal representatives and assigns and SUNY

New Paltz regarding the disposition of video documentary and photographs of interviews

conducted with me, _______________________, on (date) ____________ for

______________ (title of project).

I understand that the tapes both of me and, if applicable, my property at

________________________________________, and transcripts (if transcribed) of the

interview(s) will be maintained and made available indefinitely by the

filmmaker/photographer for such research, production (e.g., radio, television, film

festivals, World Wide Web, exhibitions, related advertisements), and educational

purposes as the filmmaker/photographer shall determine.

I hereby grant, and transfer to the filmmaker/photographer all rights, title, and interest in

the interview and video documentary, including without limitation the literary rights and

the copyright. I hereby release filmmaker/photographer, her legal representatives and

assigns, and SUNY New Paltz from all claims and liability relating to said documentary

and photographs.

The filmmaker/photographer agrees to retain the integrity of the interviewee's image and

voice, neither misrepresenting the interviewee's words nor taking them out of context.

I attest that I have voluntarily agreed to be interviewed and that this document contains

the entire and complete agreement concerning the use and preservation of my interview.

Signature of Interviewee: _________________________ Date____________

Name (printed):_________________________________

Address: _____________________________________________________________

Telephone: _______________

Signature of Interviewer: _________________________ Date____________

Name (printed):________________________________