Talent Release Form

Talent Release Form

Talent Name: ____________________________ Project Title: ___________________________________

I hereby consent for value received and without further consideration or compensation to the use (full or in part) of all videotapes/images taken of me and/or recordings made of my voice and/or written extraction, in whole or in part, of such recordings or musical performance for the purposes of the production of a Media Advanced Portfolio. The work produced will be distributed digitally via a video sharing site/blog and will be screened at the Media Showcase.

I have agreed with the production company that they will allow me to use copies of any of the above for self promotion.

at __________________________ on ________________________

(Recording Location) (Date)

by __________________________ for ______________________________

(Producer) (Production Company)

Talent’s signature__________________________________________________

Talent's Address ________________________________

________________________________

Postcode _____________

Date: ____/____/____

_____________________________________________________________________________________

If the talent is under 16:

Legal guardian (sign/print name)

__________________________________________________

Address ________________________________

________________________________

Postcode _____________

Date: ____/____/____ _____________________________________________________________________________________