[2003] TOHR GLBT History Project Interviewer's Release Form

[2003] TOHR GLBT History Project Interviewer's Release Form

A release form meant to be completed by interviewers for the Oral Histories Project. The form grants to TOHR ownership of all products of interview participation.

May 3, 2003

TOHR GLBT History Project

Interviewer’s Release Form

TO BE COMPLETED BY INTERVIEWERS, RECORDING OPERATORS, AND PHOTOGRAPHERS

Version Dated May 3, 2003

I, ________________________________________ , am a participant in the Tulsa Oklahomans for Human Rights (“TOHR”) GLBT History Project (the “Project”).  I understand that one of the purposes of the Project is to collect audio- and video-recorded oral histories of individuals concerning the GLBT history in the Tulsa area as well as selected related documentary materials such as photographs and manuscripts that may be deposited in the permanent collections of the Project. The deposited documentary materials will serve as a record of the interviewee’s experiences; and may be used for scholarly and educational purposes. I understand that the Project plans to retain the product of my participation as part of its permanent collection and that the materials may be used for exhibition, publication, presentation on the World Wide Web and successor technologies, and for promotion of TOHR and its activities in any medium.

I hereby grant to TOHR ownership of the physical property delivered to the Project and the right to use the property that is the product of my participation (for example, my interview, performance, photographs, and written materials) as stated above

I also grant to TOHR my absolute and irrevocable consent for any photograph(s) provided by me or taken of me in the course of my participation in the Project to be used, published, and copied by TOHR and its assignees in any medium.

I agree that TOHR may use my name, video or photographic image or likeness, statements, performance, and voice reproduction, or other sound effects without further approval on my part.

I release TOHR, and its assignees and designees, from any and all claims and demands arising out of or in connection with the use of such recordings, documents, and artifacts, including but not limited to, any claims for defamation, invasion of privacy, or right of publicity.

ACCEPTED AND AGREED

Signature ________________________________________________________ Date______________

Printed Name

_________________________________________

Address ____________________________________________________________________________

City __________________________________ State ______ ZIP ______________ -

____________ month/day/year

Telephone ( ________ ) -____________________

Relationship to Interviewee, if any: __________________________________________________________