The Good, the Bad and the unlucky

Student Name Nathan Detroit Morgan Unit Number 48

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 li eness in connection !ith the motion picture tentatively entitled (the "#icture$)% I hereby grant to _____________________________, its successors, assigns and licensees the perpetual right to use, as you may desire, all still and motion pictures and sound trac recordings and records !hich you may ma e of me or of my voice, and the right to use my name or li eness in or in connection !ith the e&hibition, advertising, e&ploiting and'or publici(ing of the picture% I further grant the right to reproduce in any manner !hatsoever any recordings including all instrumental, musical, or other sound effects produced by me, in connection !ith the production and'or postproduction of the #icture% I agree that I !ill not assert or maintain against _____________________________, your successors, assigns and licensees, any claim, action, suit or demand of any ind or nature !hatsoever, including but not limited to those grounded upon invasion of privacy, rights of publicity or other civil rights, or for any reason in connection !ith your authori(ed use of my physical li eness and sound in the #icture as herein provided% )y my signature here I understand that I !ill, to the best of my ability, adhere to the schedule agreed to prior to the beginning of my engagement% *dditionally, I agree, to the best of my ability, to ma e myself available should it be necessary, to rerecord my voice and'or record voice+overs and other!ise perform any necessary sound !or re,uired after the end of filming% -hould I not be able to perform such sound !or , I understand that _____________________________ may enter into agreement !ith another person to rerecord my dialogue and'or record voice+overs and use this sound !or over my picture or ho!ever they deem appropriate% I hereby certify and represent that I am over ./ years of age and have read the foregoing and fully understand the meaning and effect thereof% 0ame: *ddress: Telephone: -ignature: 1ate: Character 0ame: #roducer -ignature: #roducer Telephone: