This Printable Business Form Template belongs to these categories: film_production_forms
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Actor Release Form
I, {Name}, attest that I am a ___SAG actor ___non-union actor appearing in {title of film, television show, etc.}. I
agree to the following as conditions of my appearance:
{Production Company}
has the rights to use my performance, voice, likeness, image, etc. as it pertains to {title of film, television show, etc.} 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 {title of film, television show, etc.}, I have received {description of payment for appearance/performance} from {Production Company}.
I will not make any claims, suits, actions, demands, etc. against {Production Company} or any of its representatives for anything
related to the use of my performance, voice, likeness, image, etc.
______________________________ ______________________________
Actor Name Actor Signature
Date:
______________________________ ______________________________
Producer Name Producer Signature
Date:
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