Of Pat, (Or Fit,: To To That Will or Film For The

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LETTER OF RELEASE

To: Tom Allen


From: AliJary

Date: L2/04/LZ
Dear Sirs

AUTISM PUBLIC SERVICE VIDEO

I hereby confirm and agree that I have consented to contribute to the Project and that I am aware that my contribution will be recorded on tape or film for the purpose of inclusion in whole or in pat,

I hereby agree that you may use (or refrain from using) and edit in any manner you may think fit, the recording of my contribution. You may use my contribution for any purpose in the Project and for any purpose in connection with the Project, as you may in your absolute discretion think fit. I agree that you may use my contribution throughout the world, including by using it in whole or in pat in any publication, television broadcast or any other form of
dissemination.

waive all moral rights in my contribution to which

might be entitled in any country and

assign to you all copyright in my contribution for the duration of the life of the copyright. In addition, I give all consents necessary for your use of my contribution for the purposes set out in this letter.

I also agree that you may use my voice, name, likeness and biographical information in
relation to any use to which you may put my contribution and/or any information or views expressed therein in any adveftising and publicity relating to you or the Project.

I warrant that nothing said or implied by me (or in any documents or photographs disclosed to you by me) shall infringe the copyright or any other rights of any third pafi or be

defamatory or infringe the right of privacy of any third party and I agree to indemniff you and your licensees or assignees against any costs, claims, demands or expenses arising out of any breach or claimed breach of this warranty.

I shall not be entitled to any payment from any source arising out of or by reason of any use to which the contribution or any recording thereof may be put.
Yours faithfully,

81p1.3200363.02.VMAN/22867

00002

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