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MINOR APPEARANCE RELEASE
Film Title
[company name and type]
It is understood and agreed that Producer shall retain final editorial, artistic, and technical control of the
Production and the content of the Production. Producer and Producer’s successors and assigns shall own
all right, title and interest, including the copyright, in and to the Production, to be used and disposed of,
without limitation, as Producer shall in Producer’s sole discretion determine.
For good and valuable consideration, sufficiency and receipt of which is hereby acknowledged, Performer
grants permission to Producer to utilize Performer’s appearance in the Production. Producer may use and
authorize others to use the Production and portions thereof in all markets, manner, formats and media,
whether now known or hereafter developed throughout the world, in perpetuity.
Performer expressly releases Producer, Producer’s agents, employees, licensees and assigns from all
claims which Performer has or may have for invasion of privacy, defamation or any other cause of action
arising out of production, duplication, broadcast or exhibition of any appearance.
I, Name of Parent/Guardian represent, as parent or guardian of Name of Minor Appearing, we shall both
be bound by the terms of this Minor Appearance Release.
____________________________________________________________________________________
Name of Minor Date
____________________________________________________________________________________
Name of Parent/Guardian Signature of Parent/Guardian Date
____________________________________________________________________________________
Address City State Zip
____________________________________________________________________________________
Telephone Number E-Mail Address