Actor Release Form Template

I, ____________________________ (name), grant permission for use of my voice, likeness, and appearance in the music video for She Moves in Her Own Way, for any promotion, production, and exhibition of the Video.

I understand that nothing requires the Production Company (CMC Music) to use me in the video

I understand also that any and all proceeds from the video are the property of CMC Music

I also understand that my physical safety and personal property are my responsibility, and I will not hold liable CMC Music for any injury or loss.

I agree that the name signed is the name to be used in the video's credits.

I agree that I understand the terms in the document.

Signed,

(DATE) ____________________________________

(Print Name) _____________________________________

(Signature) _______________________________________

Address____________________________                                    

Zip Code____________                                             

Phone: _____________________