Film And Video Release Form

Film and Video Release Form

(for all actors)

I hereby give the School of International Studies, the San Diego High Educational Complex, and

the San Diego Unified School District all rights of every kind whatsoever to use my image/audio

in a film produced for IB Film Studies. I realize that this film may be presented in class, at a

school-wide functional, or be placed onto a video website.

Date: _____________________

Actor Name (please print): _________________________

Actor Signature: _________________________

Producer/Director of Film: ________________________________

If the actor is under the age 18, a parent/guardian signature is also required.

Parent of actor (please print): ________________________________

Parent of Actor Signature: ________________________________

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Parent category: Legal