1. Talent release form
I authorize the producer to use my appearance on:
PROGRAM TITLE: Public awareness advert, Radio Advert and Pop up advert.
PRODUCERS NAME: Tina Hartnell
PRODUCERS CONTACT NUMBER: ___________________________________ ___________________
DATE OF TAPING MAIN ADVERT_______________________________________________________
DATE OF RECORDING RADIO ADVERT_________________________________________________
DATE PHOTOGRAPHS TAKEN_________________________________________________ __________
I understand that I will receive copies of the finished footage and a print of the photographs
for my appearance in the above advertisements. The producer will have the full ownership of
all footage. I am giving the producer the right to use my name, likeness and biographical
material to publicize the advertisement and services of the producer.
The producer may:
1. Record my voice and photograph me and likeness for the purposes stated above
production whether by film, videotape, digitally, by magnetic tape or otherwise.
2. Make copies of all of the footage gathered stated above.
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 may be made.
I also understand that the master tape remains the property of the producer and that there
will be no restrictions on the number of times the film may be copied or the number of times
that my name or likeness is used. By signing I also certify that I am over 18 years of age.
NAME:___________________________________________________________________________________________________
ADDRESS: ______________________________________________________________________________________________
___________________________________________________________________________________________________________
COUNTY: _________________________________________POSTCODE: _________________________________________
DATE OF BIRTH (../../….): ______________________________________________________________________
TALENT SIGNATURE:___________________________________________DATE:________________________________
For the purpose of this advertisement please include a photocopy of photographic
Identification proving that you are over 18 years old.