Appearance Release Form

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APPEARANCE RELEASE FORM
I, _____________________________, understand that _____________________
is using these premises to _____________________________________________.
As such, I grant _____________________________ the right to record my image,
likeness, voice, etc. for the purposes of this production.
Producers may edit any material recorded in any way they see fit.
Producers may also use any of the material in any marketing and/or publicity campaigns,
or in any other method that is associated with the production, but that they are not in any
way required to use any of it if it does not work for their purposes.
I understand that I will not be compensated in any way for the recording and/or use of my
image, likeness, voice, etc.
_________________________________
Name
_________________________________
Signature
____________________________________________________
Address
____________________________________________________
Address (continued)
__________________________________
Phone Number

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