Music Video Release Form

Model Name*

Song Name*

Model Phone Number*

E-mail*

Instagram ID *

Role you are playing for video:*

APPEARANCE RELEASE

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I grant to Topshotlife successors, assignees, licensees, promotional partners and affiliates Topshotlife the rights set forth herein.Topshotlife will have the irrevocable and perpetual right, but not the obligation, to use, as they may desire, all video and/or photographs where I may be included for editorial trade, product advertising and such other fashion/ business purpose in any matter and medium. This includes the right to use my name, likeness and biographical information (Including, but not limited to Topshotlife) and in connection with the advertising, publicizing, exhibiting and exploiting such, in whole or in part, in any manner whatsoever, by any and all means, media, devices, and processes now or hereafter known or devised in perpetuity.Topshotlife and the related representatives and assigns (collectively “Model”) has my consent to incorporate any advertising or promotions related thereto, any photographs, and/or video in which I appear, and I hereby waive any right to any additional compensation therefore, including but not limited to any excerpt and/or reuse fees and/or residual paymentsI acknowledge that my appearance in photographs and/or video constitutes part of my Appearance and that I shall not be entitled to any compensation for such.I hereby release Topshotlife, related representatives and assigns (collectively "Model”) from any and all claims and demands arising out of or in connection with the uses set forth herein, including, without limitation, any and all liability arising out of published photographs and/or video.I will refrain from any offensive or distasteful remarks or conduct in the rendering of the Appearance hereunder and will conduct myself in a courteous and professional manner at all times during the rendering of the Appearance.I acknowledge that I am eighteen (18) years of age or older or, if the individual participating in the images, photographs, video /giving the Appearance is under the age of eighteen (18) years, I am the parent or legal guardian of such individual and am signing below on their behalf and that such minor individual will be bound by all releases, consents and covenants contained in this Appearance Release. I further acknowledge that I have read this Appearance Release in its entirety. I fully understand it, and I have resolved to my satisfaction all questions concerning its content.

Date of Sign*

Date

Signature*