The document is a release form granting the Andre Sobel River of Life Foundation permission to use an individual's name, picture, likeness, written submission, and biographical material in connection with the Foundation's print, web, and video materials. It allows the Foundation to copyright these materials and use them for publicity purposes. The individual signing releases the Foundation from any claims related to the use of their image or information in the Foundation's materials.

1. PICTURE, LIKENESS and PRINT MATERIALS RELEASE
2011 Andre Sobel Award
I, __________________ hereby grant the Andre Sobel River of Life Foundation, a California
corporation, and its agents the right to use the picture/likeness of _________________ (name
of individual/groups) in connection with the production and distribution of its print, web and
video materials. I agree that you may copyright said print, web and video materials.
I further agree that my name(s) picture/likness(s), Andre Sobel Award written submission and
biographical material as provided by me may be used in connection with publicity of its print,
web and video materials.
I release the Andre Sobel River of Life Foundation, and their agents, successors and assigns from
further claims or demands arising from the uses of materials you may use in which I/we appear.
Date: _______________
Signature: ___________________________