‘= UNSW | Arts and noses: | Social Sciences wow.unsw.edu.au ACTOR RELEASE FORM 1 Alexeed a... Figled HEREBY consent to give EMPA @ UNSW, its successors and assignees the right to record and photograph my likeness and/or voice on film, or video. These materials will be utilised in the production of eee bhRey Further, | allow SAM @ UNSW, its successors and assignees the right to use or reproduce this keness in whole or in part for publicity or broadcast purposes as they see fit Further, | HEREBY acknowledge that EMPA @ UNSW, its successors and assignees, owns the copyright on any materials I may be involved with whilst performing in the above ‘mentioned production and release EMPA @ UNSW from any claims, damages, iabilties, costs and expenses arising from the production of these materials. | understand that all rights inthe fim will be assigned to the filmmakers on delivery of the completed Film Further, | HEREBY release EMPA @ UNSW its successors and assignees, and all associates: ae resources from any claims, damages, liabilities, costs and expenses sien nn pe oes CA wo alle By the said wrllereat ely ae (PLEASE PRINT FULL NAME) psdress 2-3... Ady St. Maacak. 20zZ0. MSus , Aus Nee iene Witness Sn z Wines Name..-4ai4.. Mugen wanes aderess..6, 6. Doyles SF ofeach bore