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ACTOR RELEASE FORM

PRODUCTION TITLE: DATE OF PRODUCTION: NAME OF CONTRIBUTOR: CONTRIBUTOR ROLE: CHARACTER NAME:
I, , ATTEST THAT I AM APPEARING IN (NAME OF PRODUCTION). I AGREE TO THE FOLLOWING AS CONDITIONS OF MY APPEARANCE:

1.

THE ORGANISER HAS THE RIGHTS TO USE MY PERFORMANCE, VOICE, LIKENESS, IMAGE, ETC. AS IT PERTAINS TO (NAME OF PRODUCTION) AND ANY RELATED MATERIALS, SUCH AS PUBLICITY, MARKETING, ETC. IN ANY CAPACITY. THIS INCLUDES DISTRIBUTION, PROMOTION, EXHIBITION, ETC. AS COMPENSATION FOR MY PERFORMANCE/APPEARANCE IN (NAME OF PRODUCTION), I HAVE RECEIVED (FEE PRICE) FROM THE PRODUCTION COMPANY. I WILL NOT MAKE ANY CLAIMS, SUITS, ACTIONS, DEMANDS, ETC. AGAINST THE ORGANISER OR ANY OF ITS REPRESENTATIVES FOR ANYTHING RELATED TO THE USE OF MY PERFORMANCE, VOICE, LIKENESS, IMAGE, ETC.

2. 3.

CONTRIBUTOR SIGNATURE:

DATE:

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