Fillable Printable General Actor Release Form

General Actor Release Form

PROD. #: PRODUCTION TITLE:

DIRECTOR: PRODUCER:

ACTOR RELEASE FORM

To Whom It May Concern:

I (the undersigned) hereby grant to ____________________ the right to photograph me and to

record my voice, performances, poses, actions, plays and appearances, and use my picture,

photograph, silhouette and other reproductions of my physical likeness in connection with the

student motion picture tentatively entitled

(the “Picture”).

I hereby grant to _______________________________, their successors, assigns and licensees

the perpetual right to use, as you may desire, all still and motion pictures and sound track

recordings and records which you may make of me or of my voice, and the right to use my name

or likeness in or in connection with the exhibition, advertising, exploiting and/or publicizing of

the picture. I further grant the right to reproduce in any manner whatsoever any recordings

including all instrumental, musical, or other sound effects produced by me, in connection with the

production and/or postproduction of the Picture.

I agree that I will not assert or maintain against ___________________________, your

successors, assigns and licensees, any claim, action, suit or demand of any kind or nature

whatsoever, including but not limited to those grounded upon invasion of privacy, rights of

publicity or other civil rights, or for any reason in connection with your authorized use of my

physical likeness and sound in the Picture as herein provided.

By my signature here I understand that I will, to the best of my ability, adhere to the schedule

agreed to prior to the beginning of my engagement. Additionally, I agree, to the best of my

ability, to make myself available should it be necessary, to rerecord my voice and/or record

voice-overs and otherwise perform any necessary sound work required after the end of filming.

Should I not be able to perform such sound work, I understand that

__________________________may enter into agreement with another person to rerecord my

dialogue and/or record voice-overs and use this sound work over my picture or however they

deem appropriate.

I further acknowledge and agree that any commitments beyond the scope and intent of this

release are the sole responsibility of the above named production, or its duly appointed

representative(s) and NOT the “Name of Company”.

I hereby certify and represent that I am over 18 years of age and have read the foregoing and fully

understand the meaning and effect thereof.

Name:

Address:

Telephone:

Signature: Date:

CHARACTE R NAME

PRODUCER TELEPHONE