I (the undersigned) hereby grant to Sydney Peace Foundation the right to photograph me and to
record my voice, performances, poses, actions, plays and appearances, and use my picture,
photograph, silhouette and other reproductions of my physical likeness in connection with the
production named above as well as any subsequent productions nationally as well as internationally.
I hereby grant to Sydney Peace Foundation its successors, assigns and licensees the perpetual
right to use, as you may desire, all still and motion pictures and sound track recordings and records
which you may make of me or of my voice, and the right to use my name or likeness in or in
connection with the exhibition, advertising, exploiting and/or publicizing of the Sydney Peace Prize
- Supporter’s Story. I further grant the right to reproduce in any manner whatsoever any recordings
including all instrumental, musical, or other sound effects produced by me, in connection with the
production and/or postproduction of the Sydney Peace Prize - Supporter’s Story.
I agree that I will not assert or maintain against Sydney Peace Foundation, your successors,
assigns and licensees, any claim, action, suit or demand of any kind or nature whatsoever, including
but not limited to those grounded upon invasion of privacy, rights of publicity or other civil rights, or
for any reason in connection with your authorized use of my physical likeness and sound in the
Sydney Peace Prize - Supporter’s Story as herein provided.
By my signature here I understand that I will, to the best of my ability, adhere to the schedule agreed
to prior to the beginning of my engagement. Additionally, I agree, to the best of my ability, to make
myself available should it be necessary, to re-record my voice and/or record voice-overs and
otherwise perform any necessary sound work required after the end of filming. Should I not be able
to perform such sound work, I understand that Sydney Peace Foundation may enter into
agreement with another person to re-record my dialogue and/or record voice-overs and use this
sound work over my picture or however they deem appropriate.
I further acknowledge and agree that any commitments beyond the scope and intent of this release
are the sole responsibility of the above named production, or its duly appointed representative(s)
and NOT ANY OTHER PARTY.
I hereby certify and represent that I am over 18 years of age and have read the foregoing and fully
understand the meaning and effect thereof.