Release Form For Non-Union Extra/background Actor printable pdf download

Release Form For Non-Union Extra/background Actor

RELEASE FORM FOR NON-UNION EXTRA/BACKGROUND ACTOR

I am a non-union actor, agreeing to appearing in _________________________,

produced by _____________________________.

I ___am ___am not receiving any compensation for my participation in this

project. If I am being compensated, the compensation is as follows:

_____________________________.

I agree that this compensation, if any, is the only compensation I will receive for

my participation in this project.

I hereby grant _____________________________ the right to record and use

my image, voice, likeness, performance, etc. for the purposes of this production.

I further grant _____________________________ the right to use and/or

distribute any material filmed, taped, recorded of me in the production, as well as

any promotions or advertising related to the production.

Signed:

_________________________

Name

_________________________

Signature

_________________________

Date

_________________________

Address

_________________________

Address

_________________________

Phone

Release Form For Non-Union Extra/background Actor