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Talent Release Form
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Talent
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Talent Information
Talent Name
(Required)
First Name
Last Name
Talent Email
(Required)
Talent Phone
(Required)
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Headshot
Accepted file types: jpg, jpeg, png, gif, heic, tiff, Max. file size: 10 MB.
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Gender
(Required)
Male
Female
Non-binary / gender diverse
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Age Group
0-10 years
11-17 years
18-39 years
40-64 years
65+
Consent
(Required)
I agree that my engagment is subject to the conditions below, all of which I agree to observe
1. The Talent must at all times observe the directions of the representatives of the Liberal National Party ("LNP") and appear in such apparel and such setting and make such statements concerning the LNP as are agreed with the LNP
2. Talent consents to the LNP photographing and/or recording the Talent's voice and/or likeness whether by way of film, videotape, magnetic tape, digitally or otherwise.
3. The Talent consents to the LNP, its licensees, successors and assigns, reproducing any photograph and/or recording of the Talent's likeness, voice, any other sound effect made by the Talent and any written extraction made of any recording, in any media, whether by television broadcast, radio broadcast, print, online, multimedia broadcast to mobile telephone or otherwise.
4. Talent consents to the LNP, its licensees, successors and assigns, using the Talent's likeness for the purpose of promotion or advertising of the sale or trading in the photographs, recording and any copies made.
5. The Talent and LNP agree and acknowledge that all copyright in the photographs and recordings, including the right of reproduction wholly or in part, belongs to the LNP absolutely.
6. The Talent agrees and acknowledges that the Talent shall not, from 5 years from the date of this agreement, in public or private, disparage the LNP, satirise the Talent's association with the LNP, otherwise make any statement which might reasonably be expected to adversely affect the image of the LNP
7. The Talent agrees and acknowledges that the Talent shall not, from 5 years from the date of this agreement, appear or feature in any other advertising or promotional material relating to an Australian political party or association other than the LNP
8. Talent agrees and acknowledges that the photograph and recordings can be used for an unlimited period of time anywhere throughout the world.
9. Talent agrees and acknowledges that they will not receive a fee for their services.
Signature
(Required)
Office Use Only
Coordinator
(Required)
Coordinator Name
Adele Fahey
Callum Feeney
Felicity Purdy
Fiona Alvis
Luke Myers
Matt Chadwick
Mathew Owens
Misha Khan
Murilo Mattos
Nathan Kucks
Rob Barridge
Sam Te Rure
Tamara Srhoj
Coordinator Name
Email Address
Email Address
UserID
UserID
Election type
(Required)
- Please Select -
BCC
State
Federal
Brisbane City Council wards
(Required)
Bracken Ridge
Calamvale
Central
Chandler
Coorparoo
Deagon
Doboy
Enoggera
Forest Lake
Hamilton
Holland Park
Jamboree
Macgregor
Marchant
McDowall
Moorooka
Morningside
Northgate
Paddington
Pullenvale
Runcorn
Tennyson
The Gabba
The Gap
Walter Taylor
Wynnum Manly
State
(Required)
- Please Select -
Algester
Aspley
Bancroft
Barron River
Bonney
Broadwater
Buderim
Bulimba
Bundaberg
Bundamba
Burdekin
Burleigh
Burnett
Cairns
Callide
Caloundra
Capalaba
Chatsworth
Clayfield
Condamine
Cook
Coomera
Cooper
Currumbin
Everton
Ferny Grove
Gaven
Gladstone
Glass House
Greenslopes
Gregory
Gympie
Hervey Bay
Hill
Hinchinbrook
Inala
Ipswich
Ipswich West
Jordan
Kawana
Keppel
Kurwongbah
Lockyer
Logan
Lytton
Macalister
Mackay
Maiwar
Mansfield
Maroochydore
Maryborough
McConnel
Mermaid Beach
Miller
Mirani
Moggill
Morayfield
Mount Ommaney
Mudgeeraba
Mulgrave
Mundingburra
Murrumba
Nanango
Nicklin
Ninderry
Noosa
Nudgee
Oodgeroo
Pine Rivers
Pumicestone
Redcliffe
Redlands
Rockhampton
Sandgate
Scenic Rim
South Brisbane
Southern Downs
Southport
Springwood
Stafford
Stretton
Surfers Paradise
Theodore
Thuringowa
Toohey
Toowoomba North
Toowoomba South
Townsville
Traeger
Warrego
Waterford
Whitsunday
Woodridge
Federal
(Required)
- Please Select -
Blair
Bonner
Bowman
Brisbane
Capricornia
Dawson
Dickson
Fadden
Fairfax
Fisher
Flynn
Forde
Griffith
Groom
Herbert
Hinkler
Kennedy
Leichhardt
Lilley
Longman
Maranoa
McPherson
Moncreiff
Moreton
Oxley
Petrie
Rankin
Ryan
Wide Bay
Wright
Senate
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Talent Hair Colour
Black
Brown
Blonde
Red
Grey
Other
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Clothing Description
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Setting
Indoor
Outdoor
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Photo Description
Additional Notes
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File Name(s)
Date
MM slash DD slash YYYY