STANDARD Location RELEASE
	SERIES / PROGRAM TITLE:	
	PRODUCTION DATE:	
Permission is hereby granted to [YOUR COMPANY NAME] to use the property located at
	
 consisting of 	 
for the purpose of photographing and recording scenes for the above program produced by
 [YOUR COMPANY NAME].
Permission includes the right to bring personnel and equipment onto the property and to remove them after completion of the work.  The permission herein granted shall include the right, but not the obligation, to photograph the actual name connected with the premises and to use such name in the program(s).
The undersigned hereby gives to [YOUR COMPANY NAME], its assigns, agents, licensees, affiliates, clients, principals, and representatives the absolute right and permission to copyright, use, exhibit, display, print, reproduce, televise, broadcast and distribute, for any lawful purpose, in whole or in part, through any means without limitation, any scenes containing the above described premises, all without inspection or further consent or approval by the undersigned of the finished product or of the use to which it may be applied.
[YOUR COMPANY NAME] hereby agrees to hold the undersigned harmless of and free from any and all liability and loss which [YOUR COMPANY NAME],  and/or its agents, may suffer for any reason, except that directly caused by the negligent acts or deliberate misconduct of the owner of the premises or its agents.
The undersigned hereby warrants and represents that the undersigned has full right and authority to solely enter into this agreement concerning the above described premises, and that the undersigned hereby indemnifies and holds [YOUR COMPANY NAME], and/or its agents, harmless from and against any and all loss, liability, costs, damages or claims of any nature arising from, growing out of, or concerning the use of the above described premises except those directly caused by the negligent acts or deliberate misconduct of [YOUR COMPANY NAME], or its agents. 
By:	
       Signature of Authorized Property Representative

Date: