Location release form

1. 1. In considerationtoall of the above,the ownerherebyconsentstopermit RepertoryRecords
employees,agentsandall necessaryproductionequipmenttobe inand aroundthe premisesonthe
above date(s) forthe purposesof productioninconnectionwiththe above project.
2. In connectionwiththe project, RepertoryRecords will holdthe ownerharmlessfromanydamage
to the premisescausedbyitsagentsor employeesandforinjurytoanypersonsonthe site of the
premisescausedbysaidrepresentativesof RepertoryRecords.
3. The ownerwarrantsthat it hasthe legal rightandpowerto grant the rightsgrantedhere.The
owneralsoacknowledgesandagreesthatall right,title andinterestinall footage of the premises
filmedby RepertoryRecords duringthe above-mentionedday(s) will belongsolelyandcompletelyto
RepertoryRecords foritsuse in anymannerand mediaitseesfit.The owneragreesthat Repertory
Records may use and authorize otherstouse the likenessandinformationconcerningthe premises
for projectpublicityandinstitutional promotional purposesinconnectionwiththe project.
LocationOwner/Legal Representative Date
ProductionCompanyRepresentative Date