Att_J-6_IP_Release.pdf

(MARINE/DoD CIVILIAN RELEASE) Print Full Name of Person

Email Address ATTACH PHOTO HERE (Optional) Social Security # (last 4 digits only)

MOS/Government Employee Position

Current Rank/Grade

Current OIC/Supervisor Today’s Date

VIDEO/PHOTOGRAPHY/IMAGE RELEASE

In connection with my appearance in still photography, audio and/or video materials, or any other item in which I participated (“Content”) being generated, created, delivered or produced by [CONTRACTOR] under a contract [CONTRACT NUMBER] with, and for the benefit of, the United States Marine Corps (“Marine Corps”);

For valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I hereby consent and agree to the production, reproduction, and use by the Marine Corps and [CONTRACTOR] for, or on behalf of, the Marine Corps, and their successors and assigns, of such Content containing my likeness/photograph, name, voice, and/or statements relating to the [PROJECT NAME] in whole or in part (including any edits, versions, variations, compilations, or modifications of any type, of the Content (singularly the “Content,” or collectively the Content plus any edits, versions, or etc., are hereinafter referred to as the “Contents”) in any and all media now existing or hereinafter created (including without limitation any and all print, television or radio broadcast, Internet or Intranet, training or recruitment films, and/or any advertising or publicity materials for any Marine Corps purpose, and/or for any other use of the Content (or Contents) by, or on behalf of, the Marine Corps in perpetuity worldwide on or through any distribution medium or in or through any media (including releases sent to the media requesting the Content (or Contents). I further confirm that no further approval shall be required from me (or compensation to me) for any use by, or on behalf of, the Marine Corps of the Content (or Contents) pursuant to this Release.

[CONTRACTOR], through the undersigned, authorized company representative, hereby confirms that all rights, title, and interest therein owned by [CONTRACTOR], including, but not limited to, all intellectual property rights including copyright in or to the Content (or Contents) shall be assigned to the Marine Corps, and further confirms, with respect to third party owned/proprietary items (Third Party Items) associated with the Content (or Contents) that cannot be assigned, that [CONTRACTOR] will obtain and provide the Marine Corps with an irrevocable, paid-up, world-wide license that provides the Marine Corps with the rights to use, modify, reproduce, perform, display, release, and/or disclose such Third Party Items in whole or in part, in any manner, and for any purpose whatsoever, and to have or authorize others to do so.

I hereby certify that I am at least eighteen (18) years of age, have the full right to contract in my own name with respect to the matters stated above, that any statements that I made relating to the United States Marine Corps in the Content (or Contents) are either scripted or are my own statements and accurately reflect my own opinions and that I have no conflicting commitments that would cause me to be unable to enter into and grant the rights specified by this Release, which I hereby make binding on my heirs, next of kin, and personal representatives.

Signature Date

The undersigned [CONTRACTOR] Representative hereby confirms that he/she is authorized to enter into this Release and shall either assign or through this Release has assigned all rights, title and interest in or to the Content (and Contents) that [CONTRACTOR] created, generated or provided for this effort, or shall provide the license of the scope described above.

Title of Work: [PROJECT NAME]

FOR: [CONTRACTOR]

[CONTRACTOR] Representative: ___________________________________________________________________________

Printed Name Signature Phone No: Date