Talent release form
I authorize the producer to use my appearance on:
PROGRAM TITLE: ___________________________________________________________________
PRODUCER’S NAME: ________________________________________________________________
PRODUCER’S PHONE NUMBER: ____________________________________________________
DATE OF TAPING: ___________________________________________________________________
I am of the understanding that I am to receive no compensation for my appearance. The
producer’s will have the ownership of the program. I am giving the producer the right
to use my name, likeness and biographical material to publicize the program and the
services of the producer.
The producer may:
1. Record my voice and photograph me and likeness for the purpose of the
production mentioned above, whether by film, videotape, digitally, magnetic tape
2. Make copies of the photographs and the recordings
3. Use my name and likeness for the purpose of education, promotion or advertising
of the sale or trading in the photographs, recording and any copies that are mad.
I also understand the master tape remains the property of the producer and that there
will be no restrictions on the number of times that my name and likeness may be used.
City/county: ____________________________ Postcode: _______________________
(Parents/Guardians signature if under the age of 18 years old)
___________________________________________ Date: _____________________________