![3D"4art](3D"4artfilmsreleaseformNODVD_files/image001.gif")
" 4art Film Productions"<= o:p>
CREW RELEASE FORM
I, __________________________ do he=
reby
confirm the consent heretofore given you with respect to your photographing=
me
in connection with your motion picture/video: Title DVD Production Number: 12 and I hereby grant to you, your
successors, assigns and licensees the perpetual right to use, in any manner=
or
in any media currently existing or which may be developed in the future, as
"4art Film Productions " may desire, all video, still and motion
pictures and sound track recordings and records which you may make of me or=
of
my voice, and the right to use my name or likeness in or in connection with=
the
exhibition, advertising, exploitation or any other use of such motion pictu=
re or
recording.
I am over eighteen years of age. (<=
span
class=3DGramE>initial here) _____
I am under eighteen years of age. (=
initial here) _____
Parent/Guardian signature required.=
=
signature :=
_______________________________ (Parent/Guardian if under eighteen years of ag=
e)
=
name (print) :
_______________________________
=
home address :
_________________________________________________________
___________________________________=
___________________________________
=
phone number :
_______________________________
=
character<=
/span> name:
_______________________________
=
date:
_______________________________
4art release form revised 03/08