Permission to Publish (as the laws relate to the Commonwealth of Massachusetts; not for widespread distribution)
Production Date: ______________________ Project: _________________________________________
Producer/Student: __________________________________ Production Location: ________________
I authorize ____________________________ (the student “Producer”) to record and edit my name, likeness, image, voice, interview and performance (the “Recordings”) into this Project and related materials. I agree that the student project (”Project”) may be edited and otherwise altered at the sole discretion of the Producer and used in whole or in part for the screening of audio/visual, and/or for the exhibition of the Project, in the manner of academic video media, in perpetuity, throughout the world. I understand that I have no rights to the Project or any benefits derived therefrom.
I consent to the use of the Recordings about me in connection with the promotion of the Project. I represent that I have the right, capacity, and authority to enter into this agreement (the “Agreement”) and that my performance and the rights I have granted in this Agreement will not conflict with or violate any commitment of understanding I have with any other person or entity.
I agree to indemnify and hold harmless the Producer and their employees, agents and representatives, including those from the Harvard Kennedy School and Harvard University and their assigns, from and against all claims, losses, expenses and liabilities of every kind including reasonable attorney’s fee arising out of any inaccuracy or breach of any provision of this Agreement. I expressly release Producer from any and all claims arising out of the use of the Project for academic purposes.
This Agreement will in all respects be governed by and interpreted, construed and enforced in accordance with the laws of the Commonwealth of Massachusetts. This Agreement represents the entire understanding of the parties and may not be amended unless mutually agreed upon in writing by both parties.
Signature: _______________________________________________________________________________
Person Appearing (Please print) ___________________________________________ Date: ___/____/_____
Address: _________________________________________________________________________________
Email: ____________________________________________________ Phone:_________________________