Actor Release Form

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Actor Release Form
I, _____________________________, attest that I am a ___SAG actor ___non-
union actor appearing in _____________________________. I agree to the
following as conditions of my appearance:
1. _____________________________ has the rights to use my performance,
voice, likeness, image, etc. as it pertains to
_____________________________ and any related materials, such as
publicity, marketing, etc. in any capacity. This includes distribution,
promotion, exhibition, etc.
2. As compensation for my performance/appearance in
_____________________________, I have received
_____________________________ from ________________________.
3. I will not make any claims, suits, actions, demands, etc. against
_____________________________ or any of its representatives for
anything related to the use of my performance, voice, likeness, image, etc.
______________________________
______________________________
Actor Name
Actor Signature
Date:
______________________________
______________________________
Producer Name
Producer Signature
Date:

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