Victoria Idle
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APPLICATION FORM FOR MORE ENTRY FORMS PLEASE VISIT www.tvnz.co.nz, keyword: nz idol ATTACH PHOTO HERE Please indicate preferred audition location below: Auckland Wellington Christchurch Fill in this form to the best of your ability. Remember, this may be your only chance to sell yourself so THINK about what you are going to write. (passport or standard print size) Only applications with a photo FULL NAME: ......................................................................... attached will be considered AGE:........................... DATE OF BIRTH:............................... ADDRESS:............................................................................. ................................................................................................ TEL: (h).............................................. (w)............................... (mobile)................................................................................... Only applicants aged between 16 and 30 years will be considered. EMAIL:.................................................................................... See next page for details. NZ Idol is a trademark of FremantleMedia Ltd and 19 TV Ltd. NZ Idol is produced by South Pacific Pictures in association with Grundy Television Pty Limited, a FremantleMedia Company, and is based on a format owned by OCCUPATION:....................................................................... FremantleMedia Ltd and 19 TV Ltd. Have you sung in public before? If so, where? ................................................................................................... ADDITIONAL CONTACT (Optional): ................................................................................................... NAME:................................................................... ................................................................................................... DAYTIME PH:........................................................ Number the following in order of your ability (start with 1 for best - down to 4 for worst) Who are your idols? Singing Songwriting/playing Dancing Acting ................................................................................................... ................................................................................................... Describe yourself in ten words ................................................................................................... .................................................................................................... How would you rate your singing from 1-10 (10 is superstar)? .................................................................................................... .................................................................................................... Have you auditioned for NZ Idol before? Why should we pick you? Yes No ................................................................................................... ................................................................................................... If your answer is “yes”, did you make it into the final 60? ................................................................................................... Yes No This will not count against you if you wish to enter again Have you had any experience in the entertainment industry? ................................................................................................... ................................................................................................... DON’T FORGET TO SIGN THE SECOND PAGE. ANY UNSIGNED FORMS WILL BE REJECTED. ................................................................................................... Post both pages of your completed form (and attached photo) to: NZ IDOL, PO Box 91849, Auckland Mail Centre. Applications must reach us by 6PM MONDAY 8 May 2006. Late entries WILL NOT be considered. You MUST be between the ages of 16-30 years on 17 April 2006. Audition numbers are limited. If your application is successful you will be contacted by letter or email between 24 April 2006 and 22 May 2006. Please do not contact us. Do not sign this form unless you are sure that any information you have given is correct and you are prepared to agree to the conditions set out below. If you are under 18 years old as at 17 April 2006, you MUST have this form signed on your behalf by either your parent or legal guardian. You are advised to keep a copy of this form for yourself. In consideration of South Pacific Pictures Limited (the “Producer”) agreeing to make arrangements for the filming and recording of my contribution to the Programme, I hereby consent to the filming and recording of such contribution subject to the terms and conditions specified below: TERMS AND CONDITIONS 1. I am 16 (sixteen) years of age or older and less than 31 (thirty-one) years of and exploitation material. For the avoidance of doubt, I irrevocably consent to the age on 17 April 2006 and will supply a copy of my birth certificate, drivers licence Producer (and persons authorised by the Producer) transferring Personal Information or passport to confirm this. I am a New Zealand citizen or hold a New Zealand about me overseas to related body corporates and third parties associated with Residence Permit. the Programme and to use the Personal Information in accordance with the provisions in this sub-clause. 2. I will abide by the rules, regulations, terms and conditions (the “Rules”) of “NZ Idol”, including any interview, auditioning process, competition, event, activity, promotion or publicity relating to it (the “Programme”) as devised from time to time 7. I acknowledge and agree that the Producer’s labour and expense in making by the Producer and will accept the decision of the Producer as final and I hereby arrangements for the filming and recording of the Contributions and the opportunity acknowledge that the interests of the Programme shall override those of any provided to me to potentially appear in or in association with the Programme (the contributor, including myself. I acknowledge that the Rules are available for me “Benefits”) include sufficient and adequate consideration for the use and exploitation to review on the audition day and at tvnz.co.nz, keyword: nz idol. of the Contributions and the Programme (including without limitation my appearance in any and all episodes of the Programme) by any means and media, anywhere 3. I have not and will not enter into any commercial or other sponsorship agreement in the universe and I waive any right and/or entitlement to any equitable relief, or arrangement with any person, firm or company in respect of my appearance in remuneration or other payment howsoever arising in connection with such use or the Programme. I confirm that as at the date of signing this agreement and for the duration of the competition, I am not party to and will not be party to any contract exploitation. I further acknowledge and agree that the Benefits also include full and or arrangement in respect of my musical or performing abilities which might breach final consideration for my attendance at any and all activities as required by the the Rules or prevent my full and free participation in the competition. Producer in connection with the Programme. 4. I acknowledge that there is no obligation on the part of the Producer to record 8. I acknowledge that no repeat fees will be payable to me in respect of any or broadcast any Programme in which I appear or any part of my Contributions to subsequent rebroadcast or retransmission or any other use by the Producer (or the Programme. any assignees or licensees) of the Programme or any part thereof. 9. The Producer shall not be liable to me or my legal representative for any loss 5. With full title guarantee I hereby assign irrevocably to the Producer (including or damage or injury to me or my property caused by or suffered during or in present assignment of future copyright) the entire copyright and all other rights of connection with my taking part in the Programme. whatsoever nature in and to my audition and contribution to the Programme including but not limited to any literary, dramatic, musical or artistic work (within 10. I agree not to disclose to any third party (other than my professional advisors) the meaning of the Copyright Act 1994 (the “Act”)) incorporated therein in which without prior written consent from the Producer any information relating to the I own copyright (the “Contributions”) such that the Producer shall be entitled to Programme, my appearance, any of the production team, any participants in the Programme, the broadcaster nor any other information which may come to my use and exploit and license others to use and exploit such Contributions by all attention relating to the affairs of the Producer (or any associated company) which means and in all media and formats whether now known or hereafter invented may come to my knowledge during or in connection with my participation in the throughout the universe for the full period of copyright including any extensions Programme. and renewals thereto and thereafter insofar as is possible in perpetuity. Furthermore, I also waive all moral rights that I have in relation to the products of my Services 11. If I am contacted by the media I agree to refer them to the Programme’s in relation to the Programme, including without limitation full waiver of the rights Producer. specified in sections 94 and 98 of the Act (“Moral Rights”)