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_____________________________________________________________