SlideShare a Scribd company logo
Course name and number: Advanced
 Portfolio G324
 Production Company: MAK Films                          Production name: Short film (Social Realism)

 Director: Mario Mantillas                              Producer: Amy Jackson


                                               Actor release form

To whom it may concern;

I (the undersigned) hereby grant to Greenshaw High School the right to photograph me and to record my voice,
performances, poses, actions, plays and appearances, and use my pictures, photograph, silhouette and other
representations of my physical likeness in conjunction with the student motion picture tentatively entitled Enemy.

I hereby grant Greenshaw High School, its successors, assigns and licensees the perpetual right to use, as you
may desire, all still and motion pictures and soundtrack recordings and records which you may take make of me
or of my voice, and the right to use my name or likeness in or in connection with the exhibition, advertising,
exploiting and/or publicising of the picture. I further grant the right to reproduce in any manner whatsoever any
recordings including all instrumental, musical, or other sound effects produced by me, in connection with the
production and/or postproduction of the picture.

I agree that I will not assert or maintain against Greenshaw High School, your successors, assigns and
licensees, any claim, action, suit or demand of any kind or nature whatsoever, including but not limited to those
grounded upon invasion of privacy, right to publicity or other civil rights, or for any reason in connection with
your authorised use of my physical likeness and sound in the picture as herein provided.

By my signature here I understand 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 rerecord my voice and/or record voice-overs and otherwise perform any necessary sound work
required after the end of filming. Should I not be able to perform such sound work, I understand that Greenshaw
High School may enter into agreement with another person to rerecord my dialogue and/or record voice-overs
and use the sound work over my picture or however they deem appropriate.

I further acknowledge and agree that any commitments beyond the scope and content of this release are the
sole responsibility of the above named production, or it’s duly appointed representative and not Greenshaw High
School.

I hereby certify and represent that I am over 18 years of age and have read the foregoing and fully understand
the meaning and effect thereof.

 Name

 Address

 Telephone

 Signature


 Character name


 Student Producer             Amy Jackson

More Related Content

Similar to Actor release form

As actor release form2
As actor release form2As actor release form2
As actor release form2
Lauren Alicee
 
Release form
Release form Release form
Release form
TheBabySitters
 
Actor Release Form - The Stairway from Hell
Actor Release Form - The Stairway from HellActor Release Form - The Stairway from Hell
Actor Release Form - The Stairway from Hell
Squid Squad Productions
 
Actor release form2
Actor release form2Actor release form2
Actor release form2
jemsjems61
 
Actor release supreme
Actor release supremeActor release supreme
Actor release supreme
BakLau
 
Actor release form
Actor release form Actor release form
Actor release form
Aperture Productions
 
Talent release agreement
Talent release agreementTalent release agreement
Talent release agreement
newta1
 
Actor release layla
Actor release laylaActor release layla
Actor release layla
harrycoyle97
 
Actor release supreme
Actor release supremeActor release supreme
Actor release supreme
KCBicBoiTyrone
 
Actor release laurence
Actor release laurenceActor release laurence
Actor release laurence
KCBicBoiTyrone
 
Actor release laurence
Actor release laurenceActor release laurence
Actor release laurence
BakLau
 
Consent
ConsentConsent
Release form for actors and extras
Release form for actors and extrasRelease form for actors and extras
Release form for actors and extras
albinosmurf
 
Cast release form
Cast release formCast release form
Cast release form
bethanylouisejames
 
Personal release changemaker
Personal release changemakerPersonal release changemaker
Personal release changemaker
Rosie Allen
 
Actor release form
Actor release formActor release form
Actor release form
AbrahamSholanke
 
Personal releases one more kiss
Personal releases one more kissPersonal releases one more kiss
Personal releases one more kiss
Rosie Allen
 
As minor release form2
As minor release form2As minor release form2
As minor release form2
Lauren Alicee
 
Actor release
Actor releaseActor release
Actor release
eleanorwest
 
Audio form
Audio formAudio form
Audio form
DemiWrenn
 

Similar to Actor release form (20)

As actor release form2
As actor release form2As actor release form2
As actor release form2
 
Release form
Release form Release form
Release form
 
Actor Release Form - The Stairway from Hell
Actor Release Form - The Stairway from HellActor Release Form - The Stairway from Hell
Actor Release Form - The Stairway from Hell
 
Actor release form2
Actor release form2Actor release form2
Actor release form2
 
Actor release supreme
Actor release supremeActor release supreme
Actor release supreme
 
Actor release form
Actor release form Actor release form
Actor release form
 
Talent release agreement
Talent release agreementTalent release agreement
Talent release agreement
 
Actor release layla
Actor release laylaActor release layla
Actor release layla
 
Actor release supreme
Actor release supremeActor release supreme
Actor release supreme
 
Actor release laurence
Actor release laurenceActor release laurence
Actor release laurence
 
Actor release laurence
Actor release laurenceActor release laurence
Actor release laurence
 
Consent
ConsentConsent
Consent
 
Release form for actors and extras
Release form for actors and extrasRelease form for actors and extras
Release form for actors and extras
 
Cast release form
Cast release formCast release form
Cast release form
 
Personal release changemaker
Personal release changemakerPersonal release changemaker
Personal release changemaker
 
Actor release form
Actor release formActor release form
Actor release form
 
Personal releases one more kiss
Personal releases one more kissPersonal releases one more kiss
Personal releases one more kiss
 
As minor release form2
As minor release form2As minor release form2
As minor release form2
 
Actor release
Actor releaseActor release
Actor release
 
Audio form
Audio formAudio form
Audio form
 

More from jackson005h

Amy jackson work
Amy jackson workAmy jackson work
Amy jackson work
jackson005h
 
Fish tank pdf
Fish tank pdfFish tank pdf
Fish tank pdf
jackson005h
 
Radio analysis
Radio analysisRadio analysis
Radio analysis
jackson005h
 
Film review
Film reviewFilm review
Film review
jackson005h
 
Poster mood board
Poster mood boardPoster mood board
Poster mood boardjackson005h
 
Casting
CastingCasting
Casting
jackson005h
 

More from jackson005h (6)

Amy jackson work
Amy jackson workAmy jackson work
Amy jackson work
 
Fish tank pdf
Fish tank pdfFish tank pdf
Fish tank pdf
 
Radio analysis
Radio analysisRadio analysis
Radio analysis
 
Film review
Film reviewFilm review
Film review
 
Poster mood board
Poster mood boardPoster mood board
Poster mood board
 
Casting
CastingCasting
Casting
 

Actor release form

  • 1. Course name and number: Advanced Portfolio G324 Production Company: MAK Films Production name: Short film (Social Realism) Director: Mario Mantillas Producer: Amy Jackson Actor release form To whom it may concern; I (the undersigned) hereby grant to Greenshaw High School the right to photograph me and to record my voice, performances, poses, actions, plays and appearances, and use my pictures, photograph, silhouette and other representations of my physical likeness in conjunction with the student motion picture tentatively entitled Enemy. I hereby grant Greenshaw High School, its successors, assigns and licensees the perpetual right to use, as you may desire, all still and motion pictures and soundtrack recordings and records which you may take make of me or of my voice, and the right to use my name or likeness in or in connection with the exhibition, advertising, exploiting and/or publicising of the picture. I further grant the right to reproduce in any manner whatsoever any recordings including all instrumental, musical, or other sound effects produced by me, in connection with the production and/or postproduction of the picture. I agree that I will not assert or maintain against Greenshaw High School, your successors, assigns and licensees, any claim, action, suit or demand of any kind or nature whatsoever, including but not limited to those grounded upon invasion of privacy, right to publicity or other civil rights, or for any reason in connection with your authorised use of my physical likeness and sound in the picture as herein provided. By my signature here I understand 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 rerecord my voice and/or record voice-overs and otherwise perform any necessary sound work required after the end of filming. Should I not be able to perform such sound work, I understand that Greenshaw High School may enter into agreement with another person to rerecord my dialogue and/or record voice-overs and use the sound work over my picture or however they deem appropriate. I further acknowledge and agree that any commitments beyond the scope and content of this release are the sole responsibility of the above named production, or it’s duly appointed representative and not Greenshaw High School. I hereby certify and represent that I am over 18 years of age and have read the foregoing and fully understand the meaning and effect thereof. Name Address Telephone Signature Character name Student Producer Amy Jackson