Ambassador Audition Registration

Thank you for considering our invitation to become one of The 5000 Days Project Ambassadors.

 
 
STEP 1: COMPLETE REGISTRATION FORM
Please complete and submit the form below. Items with an asterisk (*) are required. 
Name *
Name
Birthdate *
Birthdate
RELEASE FORM
This Participation Agreement and Release (the “Agreement”) is entered into between The School of Life Project (5000 Days Project) Productions (the “Company”); the “Parent(s)”; and the “Student” (collectively referred to as the “Parties”). 1. The 5000 Days Ambassadors Project As a participant in the ANZ Video Journal Project, the Student is eligible to participate in The 5000 Days Ambassadors Project (the “Film Project”), and has been extended an invitation to do so by the Company. The Film Project will involve inclusion of the participants’ video diaries and other footage in edited form in a larger publicly available film presentation about child development. 2. Collecting, Using and Accessing Personal Information The Company will collect, use, store and disclose the personal information of the Student (the “Personal Information”) in accordance with the Privacy Act of 1988. The Student and the Parent hereby consent to the collection, use, storage and disclosure of Personal Information in accordance with this Agreement. The Parties agree that, unless otherwise permitted under this Agreement or required by law, only designated representatives of the Company are authorized to view the Footage. The Company will not disclose the Personal Information, or any information contained in the Footage, to any person (including the Parent(s)) unless: a. The health or safety of the Student is at risk; b. The health or safety of others is at risk; c. There is a threat or has been a commission of a criminal act; d. The Student and Parents mutually determine that the Student's story may be made public; or e. Disclosure is otherwise required by law. 3. Payment The Cost of Participation in the Film Project is AU$1000 per year and includes a one-on-one personal interview, plus full review and the collection of B Roll (limited raw footage of the student’s activities). An additional AU$500 per year down payment toward an eventual edited film on your child is optional. 4. Consent and Revocation The Parent(s) and the Student consent to the Student’s participation in the Film Project, as described above. The Parent and/or the Student may revoke consent to the Student’s continued participation in the Film Project by providing written notice of this decision to the Company. If the Parent and/or Student revoke consent, that revocation is not retroactive; however, the Student’s participation in the Film Project will end at the time of the revocation. In these circumstances, the Company and will hold any existing Footage and deliver it to the Student when he/she reaches the age of majority. 5. Release and Waiver In exchange for the Student’s ability to participate in the Film Project, the Parents hereby: WAIVE AND RELEASE the Company, its members, officers, directors and shareholders any claims the Parents may have, of any kind or nature, arising out of the Student’s participation in the Film Project or arising out of that handling, maintenance, disclosure, or use of the footage in which the Student appears. The Parents acknowledge that the obligation to maintain the footage in a secure and confidential manner is subject to applicable provincial and/or federal law(s). The Parties acknowledge that the Company does not assume the responsibility of reviewing the Footage in its entirety, or at all, for the purpose of identifying existing or potential safety risks. The Parents understand that this Release and Waiver is intended to be as broad and inclusive as is permitted by the laws of Australia and that if any portion of it is held to be invalid, they agree that the remaining terms shall continue to be in full legal force and effect. 6. Entire Agreement This Agreement constitutes the entire agreement between the Parties with respect to the Student’s participation in the Film Project and cancels and supersedes any previous oral or written communications, representations, understandings or agreements between the Parties with respect to the same. 7. Enforcement In the event of an action arising out of this Agreement, the exclusive jurisdiction and venue of such an action shall be a court of appropriate jurisdiction located in Perth, Western Australia.
By checking the box below, you agree to the following: *
• I am the parent or legal guardian of the above listed minor. • I agree to the terms and conditions of The 5000 Days Project Film Project listed above. • I agree to pay $200 now to audition for the Ambassadors Film Project, to pay an additional $800 if selected to continue, and to pay $1000 each year hereafter through our child’s 18th birthday.
Please also bill me annually for the optional AU$500 editing downpayment plan!