The document is a personal release form allowing an individual named Sophie Hayles to appear in the motion picture "Secrets - Mary Lambert" and granting perpetual rights to use her likeness, image, and voice in marketing and productions related to the film. It releases the producer Belle Armon-Jones from any liability arising from the use of her image and requires no additional compensation. The signature of Sophie Hayles' legal guardian Caroline Armon-Jones is also included to permit her appearance as a minor.