Congratulations!

Your business has been selected to be featured in the City of Valdez Business Spotlight Program Sponsored by Economic Development. Watch the video above to hear more about the production process. After watching, please complete the three steps below.

1. Choose Date

2. Complete Questionnaire

3. Sign Waiver

Production Release Form

Client Name (ENTITY) *

Place the name of the entity that is requesting your consent.

Project Name

Place the name of the project here.

First and Last Name *

Email *

Phone Number *

Address

City

State/Province

Zip/Postal

Are you 18 years of age or older? *

Yes

If no, please complete parent/guardian signature below.

APPEARANCE RELEASE & WAIVER OF LIABILITY (Read Fully and Sign)

ADDRESS: PO BOX 3022 VALDEZ, AK 99686
PHONE: 907-200-2012       
 
SEED MEDIA LLC
ENTITY REQUESTING MY IMAGE (Entity name is stated in line 1 at the beginning of this form)

APPEARANCE RELEASE & WAIVER OF LIABILITY

I, [The name inserted in line three at the beginning of this form], gives permission to Seed Media LLC and the ENTITY requesting my image, to use photos, video, audio recordings, and my voice (the "Content") captured through video, audio recording, photo, or digital camera, of which I may be included in part or entire, for legitimate and lawful purposes including, but not limited to, online videos, websites, social media, print media, broadcast, digital displays, advertising, promotional purposes, and dubbing and editing purposes. I understand that the Content may be used in composite form with other materials and any use of the Content will be without payment or any other consideration to me.

I hereby waive any right that I may have to inspect and/or approve the resulting finished product or the advertising copy that may be used in connection therewith, including for dubbing and editing purposes.

I hereby release, discharge, and agree to save Seed Media LLC, the ENTITY, and their agents from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, including for dubbing and editing purposes, that may occur or be produced in the making of said Content, or in any processing tending towards the completion of the finished product.

I also give permission to Seed Media LLC and the ENTITY to use AI to analyze, modify, or enhance the Content, including, but not limited to, facial recognition, voice analysis, and natural language processing. I understand that the use of AI may result in the creation of derivative works or new content based on the original Content, or this waiver of liability shall apply to those as well.

As lawful consideration for allowing my image, voice, and Content to be used by Seed Media LLC and the ENTITY, I agree that I will not make a claim against, sue, attach the property of, or prosecute Seed Media LLC, Seed Media LLC employees, agents, or contractors, the ENTITY, or it’s contractors for damages for death, personal injury, or property damage which I may sustain as a result of the media production activities. This release is intended to discharge, in advance, Seed Media LLC, the ENTITY, and their agents, assigns, and employees, from and against any and all liability, including for negligent actions, arising out of or connected in any way with my participation in the media production activities, except for liability that may arise out of willful or intentional misconduct. I understand that injuries or outcomes may arise from my own or others' negligence and conditions related to the media production activities. Nonetheless, I assume all related risks, both known or unknown to me, of my participation in these media production activities. I further understand that Seed Media LLC requires outdoor physical activity, including walking, climbing, crawling, carrying equipment/props, and other strenuous activities associated with location film production, that occasionally can cause personal injury, illness, property damage, or death. I also understand that drone operations will be part of the media production activities and these may fly around or overhead. Knowing the risks of participation, nevertheless, I hereby agree that I assume those risks and release and hold harmless Seed Media LLC, the ENTITY, their agents, assigns, employees, and contractors who (through negligence or carelessness) might otherwise be liable to me, for damages.

I attest that I am eighteen (18) years old or older or that my child, if applicable, and I, or my child is physically fit and have no known medical conditions which prohibit participation in physical activity or media production activities. I agree to follow all applicable laws, rules, and guidelines regulating the media production activities.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY FOR MYSELF AND/OR MY CHILD, AND A CONTRACT BETWEEN MYSELF, AND/OR ON BEHALF OF MY CHILD AND SEED MEDIA LLC, THE ENTITY, AND THEIR AGENTS, ASSIGNS, AND EMPLOYEES, AND I HAVE SIGNED IT OF MY OWN FREE WILL.

Signature (If under 18, a Parent or Guardian must sign.) *

Clear

Parent or Guardian Name

Date *

If you are human, leave this field blank.

All done?

Seed Media will contact you directly. We are excited to get started!