Extras Release Form

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EXTRAS RELEASE FORM
(This form is a sample to inspire you to design one with your own legal counsel
appropriate to your production, and is not to be taken as legal advice.)
To:
Production Company Inc.
Address
Telephone
Fax
Email
Web Page
For good and valuable consideration, the receipt and sufficiency whereof is
hereby acknowledged:
I hereby grant Production Company Inc., its affiliates, licensees, successors
and assigns (hereinafter collectively the "Company") the irrevocable right,
in perpetuity, to use the footage taken of me (the “Footage”) in connection
with
the
production,
distribution
and
exploitation
of
the
feature
film
presently entitled "Film Production Adventure" (the "Film"), to edit, delete,
alter and amend the Footage in any manner and to juxtapose the Footage with
any other material. This grant of rights includes the right to use my image,
voice and all instrumental, musical or other sound effects produced by me
contained
in
the
Footage
without
restriction
of
any
kind
or
nature
whatsoever. The Film and/or the Footage may be exploited throughout the
world, in perpetuity and in any and all media now or hereafter devised
without any payment to me. The Company has no obligation to use the Footage
in the Film.
I do hereby release and forever discharge the Company of, from and against
all actions, causes of action, claims, suits, judgments and demands which may
by
made
against
the
Company
by
virtue
of
my
appearance,
in
any
manner
whatsoever, in the Film.
Dated this ______ day of ________________________, ______.
Witness:
Signature:
Name:
Address:
Tel:

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