Video and Audio Recording Release Agreement

Back to Reporters in the Field

In consideration for the Digital Natives Project of the Berkman Center for Internet & Society (“Digital Natives”) agreement to restrict its use of any image of me or recording of my voice made by Digital Natives to its lawful activities, I hereby:

1. Grant Digital Natives, its employees, contractors, legal representatives, assigns, and agents, including any firm that may broadcast, publish or distribute such image or voice recording, in any manner whatsoever, (including without limitation, through print publications, television, the Internet, or the World Wide Web), the right and permission to use, reuse and/or broadcast, publish, and distribute in any form whatsoever, including print, photograph, video, audio, or other electronic media, my name, image, voice, and/or any personal data or records recorded in the media that is the subject of this release.
2. Transfer to Digital Natives all right, title and ownership in and to any image of me or recording of my voice made by Digital Natives, its employees, contractors, legal representatives, assigns, and agents.
3. Waive any right to inspect or approve of the original or any copies of images of me or recording of my voice created by Digital Natives.
4. Release, discharge, and agree to hold harmless Digital Natives, its employees, contractors, legal representatives, assigns and agents, including any firm that may broadcast, publish or distribute my image or a recording of my voice, in any form or through any medium referred to in section one above, from and against any liability as a result of any distortion, alteration, optical illusion, or use in composition form, either intentionally or otherwise, that may occur or be produced in the taking, processing or reproduction of my image or voice, its broadcast, publication, or distribution.
5. Understand that I will not be compensated in any way for Digital Natives’ use of my image, likeness and/or voice recording, except as indicated in this Agreement, unless otherwise notified in writing. My appearance (whether by image, voice, implication or otherwise) and any representations or implications contained in this media do not constitute an unreasonable, substantial, or serious interference with my privacy. To the extent that I hold rights in any creative works captured in the recorded media that is the subject of this release, I hereby grant Digital Natives nonexclusive worldwide license to reproduce, distribute, perform, and display the recorded versions of those works.

I have read and understood the foregoing.

Signed: ___________________________________________________

Dated: _______________

Name: ___________________________________________________

Address: __________________________________________________

City/State/Zip: _____________________________________________

_______ By initialing here, I hereby certify that I am over eighteen years of age, and competent to contract in my own name (if not, parent or guardian must sign below).

Release for Minor:

I hereby certify that I am the parent and/or guardian of _________________________, who is under the age of eighteen years. I hereby consent to the terms of the foregoing Agreement in connection with Digital Natives’s use of his/her name, image and/or voice recording.

Signed: ___________________________________________________

Dated: _________________

Name: ___________________________________________________

Address: __________________________________________________

City/State/Zip: ______________________________________________