Likeness and Image

LIKENESS AND IMAGE RELEASE

FOR ALL STAFF, CREW, CAST and EXTRA MEMBERS

I hereby authorize NAME OF PRODUCTIN COMPANY, and their employees, agents and assigns collectively “The Production Company” to photograph, film, record, release, distribute on film, tape, digital format, internet, sound or print; and to edit with the same as to its discretion; to incorporate for film, advertising and exploitation; with and without sound and special effects; to use, to distribute and to license in any manner in media whatsoever, included without limitation unrestricted use for the purpose of publicity, advertising, sales and promotion; and to use my name, my likeness, my image (still or otherwise), voice, biography and all other or other information concerning me in connection with the film, the project tentatively titled,

THE MYSTERIES OF ALCOHOL

For all lawful purposes including merchandising, commercials, trailers, interviews, behind the scenes, and all other purposes associated with The Stoop for perpetuity.  I further acknowledge that the Producer and Production Company, their successors and assigns own all rights to  the results and proceeds of my services rendered in connection herewith.

Signed on _____________________________________

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