Actor Release Form
Student Film
I, __________________________, attest that I am a ___SAG actor ___non-
union actor appearing in __________________________, which is a student
production. I agree to the following as conditions of my appearance:
1. __________________________ has the rights to use my performance,
voice, likeness, image, etc. as it pertains to
__________________________ and any related materials, such as
publicity, marketing, etc. in any capacity. This includes screenings at film
festivals, screenings for potential distributors, as well as any other
distribution, promotion, exhibition, etc.
2. I have received no compensation for my performance and/or appearance
in this student film, nor will I ever receive any compensation. This applies
even if the film is sold into distribution.
3. I may use this film as evidence of my work on any reel or résumé I create.
4. I will not make any claims, suits, actions, demands, etc. against
__________________________ or any of his/her representatives for
anything related to the use of my performance, voice, likeness, image, etc.
______________________________
______________________________
Actor Name
Actor Signature
Date:
______________________________
______________________________
Student Name
Student Signature
Date: