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Participant Information
PERSONAL INFORMATION
(To ensure the accuracy of your response, and to inform you of future events)
Name: ______________________________ Borough/town: ___________________
Phone: (____) _____ -________ Email: ____________________________________
It is OK in the future to contact me for purposes relating to this event. Yes
| No
I would be interested in holding up a banner post at the
unveiling ceremony at the New York Public Library on September 1st Yes | No
RELEASE
For good and valuable consideration, I irrevocably grant to the “95 Voices”
project and its affiliates the right to publish my photograph and statement
in print, video, broadcast, as well as in displays, publicity releases of every
nature, Internet and other digital communications media now known or hereafter
invented, my name, image, portrait and likeness, whether alone or in conjunction
with other photographs, artwork, text or other matter, all without limitation
as to duration, frequency or territory.
I acknowledge that my participation as a model and interviewee do not create or vest in me any copyright or other ownership rights in the photographs or other materials resulting from the session(s).
I agree that I shall have no right to inspect any image or control “95
Voices’” exercise of the authorization granted by me hereunder.
Signed: _________________________ Date: __________________________
Digital File Name: _______________ Location: _______________________
DESCRIPTION
While politicians freely voice their opinions and proposals, ordinary Americans
rarely reach the broad public with their concerns and ideas for promoting change
in the world.
This project is dedicated to bringing the voices of 95 people, chosen at random
from all 5 boroughs of New York City, into the public sphere by publishing responses
to the following question: “What’s one thing that you’re concerned
about in the world today and what, if you had the time and the influence, would
you do about it?”
HISTORICAL REFERENCE
Inspired by the past, this project derives its name from the protest of theologian
Martin Luther against the Catholic Church. On October 31, 1517, Luther reportedly
nailed his criticisms to the cathedral door in Wittenberg, Germany. His peaceful
but forceful statement is today still very much in evidence.
YOUR RESPONSE
We invite you to answer this question, using the space below or in conversation
with one of the 95 Voices volunteers.
UNVEILING
A banner displaying the participants and their responses will be made public
at 7 pm, Wednesday, September 1st, on the steps of the New York Public Library
(42nd Street & 5th Avenue, Manhattan).
For more information, contact us at info@95voices.org
95 Voices is independently organized and, though endorsed by
citizen action groups, bears no political affiliation to either party.