Film Release Form

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FILM RELEASE FORM
I hereby grant permission to (filmmaker name) __________________________________ to make a
recording of me in the following format(s):
Video
Audio
The recordings will be used for the following projects (project name):
_________________________________________________________________________
The recording will be kept under the film maker’s property and may be used for public
showings/screenings, online or for promotional purposes. The filmmaker does not have to notify me
when they use or discloses the recording and once online the filmmaker does not exercise control over
its use or distribution in being downloaded, modified or reused in other unauthorized fashions by third
parties. I do not have the right to approve the recording before being used.
I agree to the above statements
Name: __________________________________Signature: __________________________________
Date: ___________________________________

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