RELEASE FORM

Submitted to:

Company Name

Address

1.              I am submitting to you herewith the following material (hereinafter referred to as “said material”) :

TITLE: Your story Title

FORM OF MATERIAL: Screenplay

WGA REGISTRATION #:    1234

SUMMARY OF THEME OR PLOT: In one or two sentences state your theme or plot.

2.              I warrant that I am the sole owner and author of said material, that I have the exclusive right and authority to submit the same to you upon the terms and conditions herein, and that all of the important features of said material are summarized herein.  I will indemnify you from any and all claims, loss or liability (including reasonable attorneys fees) that may be asserted against you at any time in connections with said material or any use thereof.

3.         I recognize that (Company Name) has access to and/or may create or have created 

literary materials and ideas, which may be similar or identical to said material in theme, idea, plot format or other respects.  I agree that I will not be entitled to any compensation because of the use by you of any such similar or identical material which may have been independently created by you or which may have come to you from any other independent source.  I understand that no confidential relationship is established by my submitting the material to you hereunder.

4.              You agree that if you use any legally protectable portion of said material, provided it has not been obtained by you from or independently created by another source, you will pay me an amount which is comparable to the compensation normally paid by you for similar material or an amount equal to the fair market value thereof as of the date of this agreement, whichever is greater.  If we are unable to agree as to said amount or in the event any dispute concerning any alleged use of said material, (e.g. whether you have used legally protectable portion therein or any other dispute arising out of or in connection with said material, or with reference to this agreement its validity, construction, performance, nonperformance, operation, breach, continuance or termination such dispute shall be submitted to arbitration.

SIGNED:                                                                    DATE:

PRINT NAME: