Pre-Production Documents: Actor Release Form

ACTOR RELEASE FORM

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 likeness in connection with the student motion picture tentatively entitled_________________________.

By my signature here I understand that I will, to the best of my ability, adhere to the schedule agreed to prior to the beginning of my engagement.  Additionally, I agree, to the best of my ability, to make myself available should it be necessary to undertake re-shoots.

I hereby certify and represent that I have read the foregoing and fully understand the meaning and effect thereof. 

Name: ___________________________________________

Signature: ________________________________________ Date: ____________

Telephone:_________________________ Email: ___________________________

PRODUCER NAME:__________________________________________________

PRODUCER TELEPHONE:_____________________________________________

PRODUCER EMAIL: __________________________________________________