NAME AND AUDIO-VISUAL LIKENESS RELEASE

 
Please read the following and complete the fields below.
 
 
SAGE Publications, Inc.
2455 Teller Road, Thousand Oaks, CA 91320
 
SAGE Publications, Inc. (“SAGE”) is producing an audio-visual production for marketing/promotional and/or commercial  purposes containing photographs, video scenes, events and/or interviews in which I perform, participate, am portrayed, and/or appear recognizably.

For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged and will not be contested, I hereby authorize SAGE, its affiliates, licensees, assignees, and authorized agents (collectively, the “SAGE Parties”) to photograph, record, transcribe and/or otherwise reproduce and depict my name, biographical details (e.g., city, state, job title, employer), statements made by me, voice, and visual likeness (collectively, “Likeness”), and to exhibit, distribute, transmit and/or otherwise utilize any and all such reproductions containing my Likeness in any manner whatsoever, altered as SAGE may see fit, in any and all media now or hereafter known. For the avoidance of doubt, I hereby transfer and assign to SAGE any copyright I may own in any such photographs, audio-video recordings, transcriptions, or reproductions containing my Likeness. The rights granted by me hereunder are perpetual, worldwide, irrevocable, unconditional, and transferable.

I hereby forever release SAGE and the SAGE Parties from any claims that may arise regarding the use of my Likeness, including, without limitation, any claims of rights of publicity, invasion of privacy, portrayal of false light, defamation, infringement of moral rights, or copyright infringement.

I hereby warrant that I am over the age of 18, have the right to contract in my own name, and have read and understand this Name and Audio-Visual Likeness Release (“Release”) and all of its terms.

This Release sets forth the entire agreement between the parties, and supersedes any prior agreements or understandings, oral or written. This Release is governed by the laws of the State of California, without regard to principles of conflict of laws.
 
 
 

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* 1. Please complete the following information.

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* 2. Date of completion.

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* 3. Are you over the age of 18?

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* 4. If you are under the age of 18, please complete the following:

Parent/Guardian Consent: As the parent/legal guardian of the minor aged child named below, I have the legal right to consent to and do consent to the terms and conditions of this Release.

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