Actor Release Forms

Name of Film __________________________________________

Name of Production Company/Organiser
_____________________________________________________
_____________________________________________________
Date of Filming ________________________________________
Name of Contributor____________________________________

In consideration of the organiser agreeing that I contribute to and/or

participate in the film, the nature and the content of which has been fully
explained to me. I consent to the filming and recording of my contribution
to and/or participation in the film subject to the terms and conditions
specified below.

Signed by contributor__________________________________
Date _______________________________________________

If the contributor is 18 or under this form must be signed by a parent or

Legal guardian.
I consent to [name of contributor] entering into this agreement.

Signed by Parent or Guardian___________________________

Date_______________________________________________