Release Form

Page 1

ROCK OUR WORLD COLLABORATION GENERAL RELEASE FORM In consideration for value received, receipt whereof is acknowledged, I, the undersigned, hereby explicitly grant to Rock Our World Collaboration (hereinafter “ROWC”) and their respective parents, affiliates, subsidiaries, licensees, successors and assigns the absolute and irrevocable right and permission to publish, copyright, sell and use my image, including, but not limited to, my name, voice, likeness, statements and any biographical material concerning me taken for and/or in relation to ROWC, in all forms and media (hereinafter the “Materials”), throughout the world, without any restriction whatsoever as to the nature of the use, including, but not limited to, such use for the purpose of illustration, promotion, advertising and/or trade, or the publication or as to the copy of any printed or physical matter accompanying the Materials, which may be included in whole or in part, composite or retouched in character or form, in conjunction with my own name or standing alone. I further agree that ROWC may license to others said Materials, throughout the world, without any restriction whatsoever as to the nature of the use, including, but not limited to, such use for the purpose of illustration, promotion, advertising and/or trade, or the publication or as to the copy of any printed or physical matter accompanying the Materials, which may be included in whole or in part, composite or retouched in character or form, in conjunction with my own name or standing alone. I hereby release ROWC and any related individuals, charities and/or entities, and their legal representatives, licensees and assigns from all claims and liabilities from said Materials. I understand that I do not own the copyright of said Materials. I hereby waive any right of inspection or approval of said Materials. I acknowledge that ROWC will rely on this permission, potentially at substantial cost to ROWC, and hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder. Date:

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Name:

_______________________________

Signature: ______________________________

Address: _______________________________ _______________________________ City/State/Zip:

_______________________________

If the undersigned is under 18: I certify that I am the parent or legal guardian of the minor who has signed this release, and I hereby give my consent without reservation to the foregoing on his or her behalf. Date:

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Name:

_______________________________

Signature: ______________________________


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