Western
Reserve Public Media General and Materials Release
In
consideration of the publicity and exposure that I will gain through
this project, and for no additional consideration, I agree as set
out below. To allow materials and/or performances provided by me and
images and/or other recordings of those materials and/or performances
created through photography, videography, or other electronic or non-electronic
means to be edited, reproduced and distributed for unlimited use,
in whole or in part, by Western Reserve Public Media. To allow images and/or other
recordings created through photography, videography, or other electronic
means in which I appear to be edited, reproduced and distributed for
unlimited use, in whole or in part, by Western Reserve Public Media. I
also agree to the use of such images and/or materials or performances
by anyone who is licensed to do so by Western Reserve Public Media.
I understand that the means of distribution envisioned by this
release included, but are not limited to, print, broadcast media,
"narrow-cast" media, the internet and the world wide web,
and even means of distribution yet to be discovered.
I agree
to allow Western Reserve Public Media or others licensed by them, to use my name,
city and state of residence, voice, picture, and other information
about me for educational purposes, for publicity and promotional purposes,
and for other purposes as they determine are appropriate.
I also agree that Western Reserve Public Media, and licensees, agents and
employees of theirs are not liable for any damages due to use they
make of any information they learn about me during this project. Or
through the use of any material and/or performances provided by me
through this project. I affirm
that I have all rights necessary to enter into this release.
I enter
into this agreement on behalf of myself and anyone who, in the future,
would acquire rights from me by inheritance or otherwise. I
acknowledge that I have read this release and sign it as a voluntary
act.
____________________________________
Signature |
____________________________________
Date |
____________________________________
Printed Name |
____________________________________
Address |
| |
____________________________________
City/State/Zip |
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
For Minors
I am the parent or guardian of
. I fully intend that this release be binding upon him or her,
me and upon anyone who, in the future, would acquire rights from one
or both of us by inheritance or otherwise.
____________________________________ Signature |
____________________________________ Date |
____________________________________ Printed
Name |
____________________________________ Address |
| |
____________________________________ City/State/Zip |
|
Project Title _____________________________________________________________________________
|
Description of Material |
|
________________________________________________________________________________________
________________________________________________________________________________________ |
|