Actor Release Form

Get an actor's written permission to record and use their image or voice in your production, signature included.

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I confirm that this institution or organization has the right to record me on video or audio only

Yes No

Name

First Name

Last Name

Age

Date of birth

Phone number

Address

Street Address

City

State / Province

ZIP / Postal Code

Acting skills

Not likely

1 2 3 4 5 6 7 8 9 10

Very likely

Portfolio / experience / film / commercials

Actor's signature

Sign here

Date

Producer's name

First Name

Last Name

Producer's signature

Sign here

Date

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