Declaration and Authorization

  • UNIVERSAL BEIJING RESORT

  • Universal Studios Japan

    This will confirm that I have voluntarily agreed to participate in auditions conducted by USJ LLC, an operating company of Universal Studios Japan. I acknowledge that in electing to participate in this activity, I do so freely, and I assume, for myself, all risk of personal injury or property damage, which I may suffer, incur, or cause. I hereby agree to hold USJ LLC, and its respective partners, officers, agents, and employees free and harmless of and from loss, liability, damage, cost, or attorney’s fees incurred by me or caused by me or caused by my participation in these auditions. I further certify that I am over the age of eighteen (18) and in good health and physical condition. I have acknowledged that any positions with USJ LLC, are within Japan and subject to applicable immigration screening and issuance of an appropriate visa to enter and work in Japan. To the best of my knowledge none of the following characteristics or restrictions applies to me or describes my background. I certify that I am not: • A person who has been sentenced to imprisonment or a graver punishment for one year or more in Japan or any other country, • A person who has been sentenced and punished for a crime under drug regulations in Japan or any other country, • A person who was rejected by Japanese government to enter in Japan within 1 year, • A person who was deported from Japan within one year, • A person who belongs to any political party or other entities which intends to destroy the Japanese government by violence, • A person who was deported from Japan because he/she belonged to a political party or other entities which intends to destroy the Japanese government by violence. I hereby agree to submit any documents (i.e. past experiences as an entertainer, 2 headshots) required when obtaining a visa in Japan, and that any contract with USJ LLC, will not be effective unless I am approved for issuance of an appropriate visa to enter Japan. I confirm that if I am under contract with a specific agent, I will submit a letter of approval to USJ LLC. I further agree to undergo a medical examination as may be required by USJ LLC. I certify that the information provided on this form is correct and complete to the best of my knowledge. I authorize USJ LLC, to seek information from past employers and other individuals for the purpose of verifying the information I have provided. I understand that any misstatements or omissions of material facts may be cause for my immediate dismissal. I understand any offer of a contract may be contingent on my successful completion of a physical examination as requested by the Company, and I authorize release of any medical information from doctors, hospitals, or insurance companies to USJ LLC, on my behalf. I release the Company and all providers of information from any liability as a result of furnishing or receiving information related to this application. I also understand that neither this form nor any communication by a management representative is intended to create or creates a contract of employment. I agree to conform to the rules and regulations of the Company and I understand such rules and regulations may be modified at any time the Company determines that it is necessary. I hereby authorize the Company to conduct an investigation which may include obtaining information covering references, character, past employment, contact former employers, work habits, education, general reputation, driving record, personal characteristics, mode of living, judgment, liens, and criminal background and to release the company, my former employers and others providing information, from all liability whatsoever resulting from the disclosure of such information. I hereby authorize you and your licensees to use my name and likeness and any and all video, audio recording or other submission submitted or otherwise provided by me to USJ LLC (“My Submission”) in connection with any advertising, publicity or commercial enterprise with which you may be connected, whether or not related to USJ LLC. By way of example, such exploitation may include my name and/or likeness in the manufacture, distribution and sale of pictures, postcards, albums and similar products. I hereby waive any right of inspection or approval and irrevocably release you and all other parties from any liability that may arise in connection with the use of My Submission. USJ LLC reserves the right to use any photograph, video and audio recordings for USJ LLC's own archival, promotional and research purposes, without the expressed written permission of those included in said recordings. By participating in the auditions conducted by USJ LLC, I am agreeing to release, defend, hold harmless and indemnify USJ LLC from any and all claims involving the use of My Submission.