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Release Agreement | |
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>> Each Dancer of the ENSEMBLE must fill out and sign a separate RELEASE AGREEMENT << | |
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Printable Web Pages | Three ( 3 ) Pages: | |
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1.
ENSEMBLE Registration Form | 2.
Dancer Information Form | 3.
Release Agreement | |
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Please, FAX a signed copy of the Release Agreement with the Registration Form to one of the FAX numbers: | |
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TOKYO: +81-3-4496-4764 ▪ NEW YORK: +1-212-504-3246 ▪ VIENNA: +43-1-253-03330017 | |
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BALLET PRODIGY, 590 Madison Avenue, 21st Floor, New York, NY 10022 USA
E-mail: admin@ibsbp.org ▪ Website: www.ibsbp.org ▪ Telephone: +1-212-504-3246 ▪ Fax: +1-212-504-3246 | |
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I, parent or guardian of ____________________________________________, who is _________ years old (the “Contestant”), authorize International Ballet Society (“IBS Presents”), a non-profit USA organization, the presenter of the BALLET PRODIGY The Global Virtual Ballet Competition, to use written materials bearing the name, audio recordings of, and/or audio/visual recordings of the Contestant (collectively, the “Works”) in connection with the IBS Presents BALLET PRODIGY The Global Virtual Ballet Competition (the “Competition”), and to use such Works in any media (through exhibition, distribution, reproduction, publication, advertising, promotion, or otherwise), whether now know or hereafter developed, which may include the Contestant’s name, signature, likeness, image, voice, and/or performances (collectively the “Materials”).
IBS Presents may edit such Works as it desires and may use the Works or
excerpts therefrom in any way. IBS Presents may use the Works and the Materials to promote and utilize the Works and for related purposes of advertising or trade. On behalf of the Contestant, I hereby waive all rights under privacy, publicity, defamation, and proprietary right relating to the recordings. IBS Presents may transfer or license any of it’s rights hereunder.
This is a non-exclusive, perpetual and irrevocable license.
I acknowledge that the Contestant is competing to receive cash and other prizes in the Competition. I will not hold IBS Presents liable for the breach of any agreement previously made or herein made as a result of the Contestant’s participation in the Competition or related events.
I represent that I am the legal guardian and/or parent of the Contestant and that I have the right, power and authority to enter into the Release Agreement, on behalf of the Contestant. I release, indemnity, and hold IBS Present, its licensees, successors, and assignees harmless against all claims, liabilities, and expenses arising out of the breach of any of my representation or promises. I have read and understand the terms and conditions of this Release Agreement.
Name of Parent/Guardian (please, print): ___________________________________________________________
Signature of Parent/Guardian: ____________________________________________________________________
Date: _________________________ | | |
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