Talent Release for Christian Youth Film Society
For a valuable consideration, the receipt of which is hereby acknowledged, I (the undersigned) do hereby confirm the consent heretofore given you with respect to photographing me in connection with a motion picture and I do hereby grant to you, your successors, assigns and licensees the perpetual right to use, as you may desire, all still and motion pictures and sound track recordings which you may make of me or of my voice, including the right to substitute the voice of another person or persons for my voice and the right to use my name or likeness in or in connection with the exhibition, advertising, exploitation, or any other use in all media of such motion picture or recording. Further I grant these same rights to use my name, likeness, and voice as captured by still, film, and video cameras to the Christian Youth Film Society for the purposes of publicizing the Christian Youth Film Society and all related events and uses. I am fully aware that this motion picture production is not signatory to any entertainment industry union or guild.
Email address *
Title of movie *
Date of movie completion *
Name *
Email *
Address *
Phone number
If under age 18, parent or legal guardian must complete the section below: I (the undersigned) do hereby consent to and join in the execution of the foregoing release as the: PARENT or GUARDIAN of the aforementioned minor.
Name of Parent or Guardian
Phone number
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