Documentary Release Form printable pdf download

DOCUMENTARY RELEASE

Title _________________________________________________

Production Number ____________________________________

In consideration for my participation in the motion picture production identified above, I, the

undersigned, do hereby expressly and irrevocably consent to be photographed and/or audio taped.

I agree that ____________ will own any and all rights in said photography and I waive any and all

uses of my name, likeness, voice, or character; or any combination thereof, in any manner or in any

media, as desired by _____________________; its contractors, agents and employees, including

but not limited to, the right to reproduce, distribute, sell, transmit, publish, exhibit, or otherwise use

the above titled production or any portion thereof.

I understand that in proceeding with said

photography, ____________ is doing so in full reliance on the foregoing permission.

I hereby release whatever rights, title or property interest I may have in the production, or so much of

it pertains to me. I understand I shall receive no compensation for my appearance and participation

in the motion picture being produced.

Further, I agree to hold _____________, its contractors, agents and employee harmless against any

liability, loss or damage (including reasonable attorney’s fees) caused by or arising from the

exhibition or telecast of my appearance in the production, or any utterance made by me in

connection with my participation therein.

over eighteen years of age:

Signature

________________________________________________________

Name (Print)

________________________________________________________

Date

________________________________________________________

Home Address ________________________________________________________

________________________________________________________

Phone Number ________________________________________________________

AM NOT

over eighteen years of age:

Guardian Signature ________________________________________

Guardian Name (Print)

_________________________________________________

Date

_________________________________________________

Phone Number

_________________________________________________

PM/AD/Student Filmmaker _______________________________________________

Phone

_______________________________________________

SFTV Class

_______________________________________________

Rev 8/05

Documentary Release Form