d8talk Limited
c/o Stephens Lawyers
Wakefield House
90 The Terrace
Wellington 6011
Aotearoa / New Zealand
INDIVIDUAL PARTICIPANT RELEASE FORM
By submitting an application at www.d8talk.nz to be a participant in the d8talk project I confirm and irrevocably agree to the following:
I am between 18 and 24 years old.
I understand that d8talk is a project featuring young people in Aotearoa / New Zealand talking about dating, including their own personal experiences.
I understand that Champion Creative Films Limited is producing the d8talk project (‘the project’) in Aotearoa / New Zealand under licence from d8talk Limited, and that the project is funded by New Zealand On Air.
I understand that Champion Creative Films Limited, d8talk Limited and New Zealand On Air will seek to achieve a widespread audience for the content of the project.
I understand that there are two phases of the project, that in Phase One (Tapes) I will take part in an interview about dating, and that for Phase Two (Diaries) I may be offered an opportunity to record on camera regular updates related to my dating life over a period of several months.
I agree to permit Champion Creative Films Limited to record me on photographic, video and/or audio recording media, to be included in Phase One (Tapes).
If I participate in Phase Two (Diaries), I agree to permit Champion Creative Films Limited to use the recorded material that I provide.
I understand that Champion Creative Films Limited will reasonably consult meaningfully with me regarding the specific material pertaining to me that will be used in either phase of the project, including an opportunity for me to name any specific material that I do not wish to be distributed publicly, provided that I give reasonable notice so that it can realistically be withheld from public distribution.
I also understand that I can request and be granted anonymity regarding my participation in either phase of the project.
Subject to the above consultation process and anonymity option, I give to Champion Creative Films Limited and d8talk Limited, and to their licensees, assignees, agents and successors, the unlimited right to use my name and all or any part of the recordings as may be edited and used by them or on behalf of them at their sole discretion, for showing as part of or in relation to the project throughout the world on the Internet, social media, television and in/on any present or future media, including in any advertising, publicity, present day or historical review or analysis of the project or any part of it or any derivative of it.
I accept that the use of this material by Champion Creative Films Limited and d8talk Limited as outlined above will not invade my privacy.
I agree that Champion Creative Films Limited may share my demographic details with New Zealand On Air for statistical purposes, which will be in an anonymised and aggregated form together with the demographic details of other project participants.