Plan Z Diet Media Release Form

    Usage for: Videos, Photos, Interviews, Written Testimonials

    All fields required:

    Under the terms of this Media Release Form ("Agreement"), I hereby authorize Plan Z by Zola, its officers, directors, agents, successors, assigns and legal representatives ("Plan Z") to film, tape or otherwise record my name, voice, likeness, performance and/or use the materials which may include photos, videos, interviews or written testimonials that I have provided to Plan Z (my "Likeness"). I grant Plan Z the irrevocable, perpetual, worldwide, royalty-free, fully paid up right to use and to authorize others to use my Likeness for Plan Z's advertising and business initiatives, including (without limitation) for television broadcasting or audio-visual purposes, distribution on disc or online. The license granted in this document is intentionally broad. I understand that: (1) Plan Z may use my Likeness in any of its advertising or business initiatives, whether in development now or in the future; (2) Plan Z may use my Likeness in any form and in any media; (3) Plan Z may edit or alter my Likeness in any way it deems appropriate; (4) I will have no right to inspect, approve or reject any of Plan Z's uses of my Likeness; (5) I will receive no payment from Plan Z for use of my Likeness and any publicity I personally receive is sufficient consideration for this license and release; and (6) Plan Z will be the sole owner of all materials it develops from my Likeness.

    I warrant that all material furnished by me for the use by Plan Z is my original material that I have the authority to provide it to Plan Z under this Agreement. I agree, if any third party asserts any claim of infringement, disparagement or violation of any right, relating to my statements and actions provided to Plan Z under this Agreement or the materials furnished by me to Plan Z under this Agreement, I agree to indemnify and hold Plan Z and its licensees harmless from liability, loss or expense arising from such claim or litigation. I further release, discharge and hold Plan Z harmless from and against any and all liability for use of my Likeness.

    I further agree that I shall assert no claim against Plan Z or its licensees with respect to injury of any kind that I may charge has been sustained by me in connection with my participation with the Plan Z program or if Plan Z exercises any rights granted to it hereunder.

     

    I certify that I have the authority to enter into this Agreement and have read this form and understand all of its terms. I have had an opportunity to consult with a lawyer.I Agree