Actor Release Forms

Name of Film
______________________________________________________
Name of Production Company/Organiser
__________________________________________________________________
__________________________________________________________________
Date of Filming
_____________________________________________________
Name of
Contributor_________________________________________________

In consideration of the organiser agreeing that I contribute to and/or

participate in the film, the nature and the content of which has been fully
explained to me. I consent to the filming and recording of my contribution
to and/or participation in the film subject to the terms and conditions
specified below.

Signed by
contributor________________________________________________
Date ______________________________________________________________
If the contributor is 18 or under this form must be signed by a parent or
Legal guardian.
I consent to [name of contributor] entering into this agreement.

Signed by Parent or
Guardian_________________________________________
Date_____________________________________________________________