INSCRIPTION Nº. ________

DECLARATION

I declare that I detain the author rights of the video ___________________________________________________ and that I authorize:

. its public free showings, from August 2010 to December 2011, at dança em foco – International Video and Dance Festival and in its partner events.
. the use of frames of this work in printed and electronic publications produced by the event and its partners.
. the inclusion of the work in the festival archives and its use for non-commercial private research.

SIGNED:

FULL NAME:

PLACE:

DATE:

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