MUSIC VIDEO RELEASE FORM
Name
of Music Video: Taylor Swift ‘Teardrops on my
Guitar’
Name
of Production Company/Organizer:
Sarah Walley
Description
of Involvement: Main character. Will perform
in almost every scene.
Date
of Filming 28th September- 1st November 2013
Name
of Contributor Emma
Machin
Address
of Contributor Not
disclosed
Contact
Number of Contributor Not
Disclosed
In consideration of the
Organizer agreeing that I contribute to and/or participate in the music video,
the nature and the content of which has been fully explained to me, I consent
to the filming and recording of my contribution to and/or participation in the music
video subject to the terms and conditions specified below.
Signed
by Contributor

Dated 2nd September 2013
Terms and
Conditions
1.
I
irrevocably and with full title guaranty assign to the Organizer all rights now
or hereafter existing in the products of my services in relation to the film
and agree that the Organizer shall have the sole right to deal with the Film
containing such contribution or any part of it in any way that he/she thinks
fit. I agree that the Film incorporating my contribution or any part of it may
be exhibited or otherwise however exploited in all media and formats now and
hereafter created throughout the universe for the full period of copyright and
in perpetuity.
2.
I waive any
so-called "moral rights of authors" in the music video and such
rights under section 77 and section 80 of the Copyright Designs and Patents Act
1988 (“Act”) as I now have or hereafter
acquire in relation to the music video. I irrevocably grant the Organizer all
consents under Part 11 of the Act in perpetuity.
3.
The Organizer
may without my further consent use my name, likeness, biography photographs and
recordings of interviews with me in exploiting, advertising and publicizing the
music video in all media and formats throughout the world now or hereafter
created.
4.
The Organizer
and its assignees and/or licensees shall not be liable to me or my legal
representatives for any loss or damage or injury to me or my property caused or
suffered in connection with the Organizer’s making of the music video unless
caused by the negligence of the Organizer and recoverable on that ground and in
the event of any breach by the Organizer I agree that I will not be entitled to
injunct the music video.
5.
I agree that
the contribution shall not contain anything which is an infringement of
copyright or which is calculated to bring Sarah Walley into disrepute or which
is defamatory provided however that the Organizer shall not be entitled to
bring any claim against me in respect of any defamatory material that was
included in my contribution without negligence or malice on my part.
6.
I confirm
that the terms of this agreement have been explained to me and that I
understand them.
7.
This
agreement is the entire agreement between me and the Organizer relating to the music
video and is governed by the laws of England and Wales.
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