Personal Appearance Release Form.

Date *
Participant's Name *
Participant's Name
Producer / Production Entity *
Terms & Conditions *
I hereby authorize the Producer/Production Entity to record and edit my name, likeness, image, voice and participation in and performance on digital platforms, film, tape or otherwise for use in the above production, parts thereof (the “Recordings”) and as stock footage. I agree that the footage may be edited and otherwise altered at the sole discretion of the Producer/Production Entity, their Client and/or Licensee, and used in whole or in part for any and all broadcasting, non-broadcasting, audio/visual, and/or exhibition purposes in any manner or media, in perpetuity, throughout the world.