I hereby authorize and irrevocably grant to the Children’s
Defense Fund and its affiliates, licensees, agents, employees and assigns the
unrestricted right to use and publish any part of the information I have
provided to the Children’s Defense Fund and the rest to record my name,
appearance, likeness, the sound of my voice and my comments on film, videotape,
audiotape, still photographs, print and any other form of media now known or
hereafter invented. I acknowledge that the Children’s Defense Fund shall own
all right, title and interest in and to this media. I further agree that the
Children’s Defense Fund may cause all or parts of this media to be used for any
and all of its publications, exhibitions, public displays, editorials,
advertising or for other purposes. I agree that I have not been paid, have not
received other consideration and have no monetary rights to the audio
recordings, films, videos or photographs and that such media belongs to the
Children’s Defense Fund.
I waive any right of inspection or approval of the media or
any advertising or publicity in which my name, voice, appearance, likeness,
narrative or comments might appear. I expressly release, discharge and agree to
hold harmless the Children’s Defense Fund and its agents, employees, licensees,
affiliates and assigns from and against any and all claims including, but not
limited to, invasion of privacy and misappropriation that I might have now or
at any time in the future in any way relating to my interview or its use.
I understand this permission signifies that photographic,
audio or video recordings of me may be electronically displayed via the
Internet or in other public settings. There is no time limit on the validity of
this release nor is there any geographic limitation on where the materials
contemplated hereby may be distributed.
I acknowledge that I have completely read and fully
understand the above release and agree to be bound hereby. This release shall
be binding upon me and my heirs, legal representatives and assigns.