Release Form

This is a copy of the standard release we ask each participating musician to sign. 


Documentary Consent Form For The Musicians Project

This is to confirm that I, ________________________, give my full permission to The musicians project, to use the interview that will be filmed with me in a documentary film tentatively called Musicians Project. I also fully understand that this film may be entered into film festivals and shown widely throughout the United States and the world. I understand that The musicians project will own all rights to the documentary film, and there is no financial compensation for the video or audio recording of my interview.

I permit the use of my video and audio interview in the musicians project in all forms and media including advertising and related promotion throughout the world and in perpetuity. I grant the right to use my image, and name as I have given, in connection  with all uses of the interview and waive the right to inspect or approve use of my interview as incorporated in the Musicians Project.

Release. I release the Musicians Project and the assigns, licensees and successors from any and all claims that may arise regarding the use of the interview including any claims of defamation, invasion of privacy, or infringement of moral rights, rights of publicity or copyright. I acknowledge that I have no ownership rights in the Musicians Project.

I have read and understood this agreement and I am over the age of 18. This Agreement expresses the complete understanding of the parties.

___________________________ Interview subject signature

___________________________ Interview subject name

___________________________ Interview subject   

___________________________ Contact Info

___________________________ (city, state, zip, 

___________________________ address, phone, etc)

___________________________

___________________________ Date

 

Our Inspiration

Dr. Manisha Sharma

Dr. Manisha Sharma, speaking at health care reform rally.Dr. Manisha Sharma, in December of 2009, attended a vigil held in Times Square to highlight loss of life, and outrageous economic cost of delayed healthcare reform. Dr. Sharma told the crowd the patient she would be speaking about was herself. In her early 20s, Dr. Sharma was studying to become a dancer and musician, until she was hit by a car. Instantly, she went from being a healthy independent young woman, to being a patient in need of continuous medical care. Dr. Sharma underwent four major hip surgeries and extensive physical therapy. Despite having private health insurance, she amassed thousands of dollars in medical bills. Though her recovery was long and difficult, the worst part was fighting her insurance company to pay the medical bills, while she continued to pay her premiums. “I went into medicine because I believe healthcare is a right, not a privilege,” she declared. “I am here to tell you as both a doctor and a patient that we do not get to choose when we get sick or when we get hit by a car. We need a system that puts patients before profit, a system where health insurance coverage is there for you whether you have a job or are between jobs, no questions asked.” Every day 2,500 Americans are forced into bankruptcy by medical costs, the leading cause of bankruptcy in the United States.