Actor/particpant Release Form

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ACTOR/PARTICPANT RELEASE FORM
Trapeze School World Corp (Doing Business as Trapeze School New York™, TSNY™)
To Trapeze School World Corp:
I (the undersigned) hereby grant to the Filmmaker ___________________ the right to photograph me
and to record my voice, performances, poses, actions, plays and appearances, and use my picture,
photograph, silhouette and other reproductions of my physical likeness in connection with the Video
tentatively entitled ______________________________.
I hereby grant to Trapeze School World Corp, its’ successors, assigns and licensees the perpetual right to
use, as you may desire, all still and motion pictures and sound track recordings and records which you
may make of me or of my voice, and the right to use my name or likeness in or in connection with the
exhibition, advertising, exploiting and/or publicizing of the Video. I further grant the right to reproduce
in any manner whatsoever any recordings including all instrumental, musical, or other sound effects
produced by me, in connection with the production and/or postproduction of the Video.
I agree that I will not assert or maintain against Trapeze School World Corp, your successors, assigns and
licensees, any claim, action, suit or demand of any kind or nature whatsoever, including but not limited
to those grounded upon invasion of privacy, rights of publicity or other civil rights, or for any reason in
connection with your authorized use of my physical likeness and sound in the Video as herein provided.
By my signature here I understand that I will, to the best of my ability, adhere to the schedule agreed to
prior to the beginning of my engagement. Additionally, I agree, to the best of my ability, to make myself
available should it be necessary, to rerecord my voice and/or record voice!overs and otherwise perform
any necessary sound work required after the end of filming.
Should I not be able to perform such sound work, I understand that Trapeze School World Corp may
enter into agreement with another person to rerecord my dialogue and/or record voice!overs and use
this sound work over my picture or however they deem appropriate.
I further acknowledge and agree that any commitments beyond the scope and intent of this release are
the sole responsibility of the above named production, or its duly appointed representative(s) and NOT
Trapeze School World Corp.
I hereby certify and represent that I am over 18 years of age and have read the foregoing and fully
understand the meaning and effect thereof (go to next page for MINOR RELEASE):
Name:
Address:
Telephone:
Signature: __________________________________________________________ Date: _____________
Filmmaker YouTube Username:
Filmmaker E!mail address:
Filmmaker Signature: _________________________________________________ Date: _____________

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