You are on page 1of 2

Monica Kigozi

ACTOR RELEASE FORM


MAHMOOD MANSOORI
To whom it may concern:
I ___MAHMOOD MANSOORI____ hereby grant to Gold line productions
the right to photograph me and record my voice, performances, actions, plays
and appearances, and use my picture photograph and silhouette and other
reproductions of my physical likeness in connection with the student motion
picture tentatively entitled 24 Hours
I hereby grant Gold line productions, their successors, assigns and
licenses the perpetual right to use as you may desire, all still and motion
pictures and sound track recordings and records which you may make of me
or my voice, and the right to use my name or likeness in or in connection
with the exhibition, advertising exploiting and/or publicising of the picture.
I further grant the right to reproduce in any manner whatsoever any
recordings including all instrumental, musical or other sound effects produced
by me, in connection with the production and/or postproduction of the picture.
By my signature I hereby understand that I will, to the best of my ability,
adhere to the schedule agreed to prior to the beginning of my engagement.
Additionally, I agree, to the best of my ability, to make myself available should
it be necessary, to re-record my voice and/or record voice-overs and
otherwise perform any necessary sound work required after the end of filming.
Should I not be able to perform any necessary sound work required,
I understand that Gold line productions may enter into agreement with
another person to rerecord my dialogue and/or record voice overs and use
this sound work over my picture of however they deem appropriate.
All rights, title and interest in and to the proceeds of the services and
performances rendered by me in connection with the production of the picture
or any proportion therefore shall, from its inception, be the sole property of the
producer, free from any claim whatsoever by me or any other person.
This agreement contains the full and competes understanding between the
parties and supersedes all prior agreements and/or understandings pertaining
hereto and cannot be modified except by writing signed by each party.
I hereby certify and represent that I am of legal age and have every right to
contract in my own name in connection with this release, and that I have the
foregoing and fully understand the meaning and effect thereof, and intending
to be legally bound I have signed this

Monica Kigozi

Any actor who is under the age of 18 must has his or her legal guardian
sign the release form

_____________________
Date of birth
_____________________
Print Name
_____________________
Signature
______________________
Legal guardian Name
_______________________
Legal guardian signature

You might also like