Actor Release Form

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ACTOR RELEASE FORM
To Whom It May Concern:
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 student motion picture tentatively
entitled________________ (the “Picture”).
I hereby grant to the Filmmaker and his or her successors, assigns and licensees the
perpetual right to use, as the Filmmaker may desire, all still and motion pictures and
sound track recordings and records which the Filmmaker 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 picture. 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 Picture.
I agree that I will not assert or maintain against the Filmmaker or his or her 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 the Filmmaker’s
authorized use of my physical likeness and sound in the Picture 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 the Filmmaker 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 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.
Name:
Signature:
Date:
Address:
Telephone:
Character Name:
Producer Signature:

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