Celebrating self-expression as a basic human right essential for the

healthy growth of youth, individuals and communities

COMMUNITY ARTS ADVOCATES, INC.

Stephen H. Baird, Founder and Executive Director

PO Box 300112, Jamaica Plain, MA 02130-0030

Telephone: 617-522-3407

Email: info@communityartsadvocates.org

Web site: http://www.communityartsadvocates.org  

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FLASH NEWS: Federal Law Suit to protect rights of street artists in Boston served on August 3, 2004

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Street Artists Photo-Journalism Project

Consent and Release Agreement

 

 

Regarding: Consent and Release Agreement

To: Street Arts & Buskers Advocates, Community Arts Advocates, Inc., PO Box 112, Jamaica Plain, MA 02130 USA

Project: Street Artists Photo-Journalism Project

As a condition of my participation in the Street Artists Photo-Journalism Project, I hereby consent to the use of my name and biographical information, as well as my statements, image and likeness photographed by Community Arts Advocates and/or audio/video-recorded by Community Arts Advocates, for such purposes as Community Arts Advocates deem appropriate, including archival, promotional and educational purposes, and for print, audio/video and internet uses, with or without attribution. I also agree that all photographs and audio/video recordings created or used in reliance on this release, and any derivative works into which they are incorporated, are and shall remain the property of Community Arts Advocates.

Signature: __________________________________________ Date:___________________

Name (Please Print):___________________________________________________________

Address: ____________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Telephone: ______________________ Email: ______________________________________

Web site: ____________________________________________________________________

 

If the street artist is a minor under the age of eighteen (18) is involved, a parent or guardian must also give permission by signing below:

 

Signature: __________________________________________ Date:___________________

Name (Please Print):___________________________ Relationship: ____________________

 

Street Artists Photo-Journalism Project

Consent and Release Agreement

PDF file click here

 

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