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CONSENT & RELEASE FORM

Self Reflections Pty Ltd

Video Interview Consent and Release Policy

INTRODUCTION

I, hereby grant Self Reflections Pty Ltd, referred to as the "Released Party," the irrevocable right and permission to record, use, publish, stream, sell, and distribute my name, voice, image, and likeness as captured in video footage, audio recordings, photographs, and/or written materials (hereinafter collectively referred to as the “Materials”).

These Materials may be used for commercial, educational, promotional, or any other lawful purposes in various media formats, including but not limited to digital platforms, print publications, public exhibitions, and broadcasts, without any restriction on geographical location or time period.

I understand that the Materials may be edited, altered, copied, exhibited, or distributed without my further approval and I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising from or related to the use of the Materials.

OWNERSHIP AND RIGHTS

I acknowledge that the Released Party owns all rights to the Materials, including but not limited to copyright and distribution rights. The Released Party has the authority to grant usage rights of the Materials to third parties for any lawful purposes.

 

VOLUNTARY PARTICIPATION

I affirm that my participation is voluntary, and I am free to withdraw my consent at any time before signing this form by notifying the Released Party in writing. Withdrawal of consent will not affect any lawful use of the Materials made before the withdrawal.

RELEASE OF LIABILITY

I hereby release, discharge, and agree to hold harmless the Released Party, its legal representatives, assigns, and all persons acting under its permission or authority, from any liability by virtue of any use of the Materials, including but not limited to any blurring, distortion, alteration, optical illusion, or use in composite form that may occur or be produced in the processing of the Materials.

AGE AND COMPETENCE

I declare that I am over 18 years of age and have full legal capacity to execute this agreement. If the participant is under 18 years of age, this form must be reviewed and consented to by the participant’s parent or legal guardian.

ACKNOWLEDGEMENT

By signing this form, I acknowledge that I have fully read, understood, and agree to the terms of this consent and release form.

 

CONTACT US

If you have any questions about these Terms, please contact us at klaudia@selfreflections.com.au.

YOUR DETAILS, CONSENT & SIGNATURE

Thank you, your consent form has been received.

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