Actor Release Form
Actor Release Form
Please complete this form to confirm your consent and participation.
Actor Information
Name
Date of Birth
Address
Phone number
Are you 18 years of age or older?
Program/Movie Details
Program/Movie Title
Production Company
Producer/Director Name
Production Start Date
Consent and Release
By signing this document, I, the undersigned, hereby grant my consent to [Your Company Name] for the recording and use of my image, voice, and likeness in connection with the production in which I am a cast member, for the following purposes:
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I grant permission to record my image, voice, and performance: [Your Company Name] has the right to capture my likeness and voice for the purposes of this production.
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I allow the use of my recorded materials in all forms of media: These include, but are not limited to, film, radio, television, online platforms, and social media.
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I authorize editing and distribution of my recorded materials: [Your Company Name] may alter, edit, and distribute these recordings as necessary for the project.
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I waive any rights to further compensation: I understand that I will not receive additional payment or royalties beyond what was initially agreed upon.
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I grant permission to use my recordings for promotional and commercial purposes: These recordings may be used in advertisements, promotions, educational content, or other commercial purposes.
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I acknowledge that all recordings become the property of [Your Company Name]: I understand that I have no ownership or rights to the final recordings.
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I waive the right to review or approve the final product: I will not have the opportunity to inspect or approve the finished product or its use.
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I release all claims of privacy or defamation: I waive any claims regarding invasion of privacy, defamation, or misrepresentation based on the use of my image or voice in this project.
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I confirm that I am legally able to consent: I am over the age of 18 and capable of entering into this agreement.
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I verify that the information provided is accurate: All details submitted in this form are true and correct to the best of my knowledge.
Actor
Name: Date: |
Producer
Name: Date: |
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