I, the undersigned, hereby grant permission to Equality Now, Inc. (“Producer”) to photograph me and to record my voice, performances, poses, acts, plays and appearances, and use my picture, photograph, silhouette and other reproductions of my physical likeness and sound as part of the PSA Campaign entitled What Equality Means To Me (the “Picture”) and the unlimited distribution, advertising, promotion, exhibition and exploitation of the Picture by any method or device now known or hereafter devised in which the same may be used, and/or incorporated and/or exhibited and/or exploited.
I agree that I will not assert or maintain against you, 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 other reason in connection with your authorized use of my physical likeness and sound in the Picture as herein provided. I hereby release you, your successors, assigns and licensees, and each of them, from and against any and all claims, liabilities, demands, actions, cause of action(s), costs and expenses whatsoever, at law or in equity, known or unknown, anticipated or unanticipated, which I ever had, now have, or may or shall hereafter have by reason, matter, cause or thing arising out of your use as herein provided.
I affirm that neither I, nor anyone acting for me, gave or agreed to give anything of value to any of your employees or any representative of any television network, motion picture studio or production entity for arranging my appearance on the Picture. I also understand that signing this release does not guarantee that my recording will be used in the PSA Campaign.
I affirm that I am either 18 years of age or older or have the consent of my parent or legal guardian.
I have read the foregoing and fully understand the meaning and effect thereof and, intending to be legally bound, I have signed this release.
Su acción hace una diferencia. Levante su voz para detener los abusos de derechos humanos contra las mujeres y niñas.