Sample Release Contract Performer Release Agreement For valuable consideration, including the agreement to produce the motion picture film currently entitled [TITLE], I hereby irrevocably grant to [COMPANY] (hereinafter referred to as "company"), its licensees, agents, successors and assigns, the right (but not the obligation), in perpetuity throughout the world and in all media either now or heretofore unknown, to use in any manner the company deems appropriate, and without limitation in and in connection with the motion picture, by whatever means exhibited, advertised or exploited, my appearance in the motion picture, still photographs of me, recordings of my voice taken or made of me by it, any music sung or played by me, and my actual or fictitious name. On my own behalf, and on behalf of my heirs, next of kin, executors, administrators, successors and assigns, I hereby release the company, its agents, licensees, successors and assigns, from any and all claims, liabilities and damages arising out of the rights granted hereunder, or the exercise thereof, as provided by the terms of this Agreement. _________________________ [ACTOR] _________________________ [DATE] _________________________ Address _________________________ Telephone Number _________________________ Social Security Number _________________________ [FULLNAME], an authorized and legal representative of [COMPANY] _________________________ [DATE] _________________________ [WITNESS] _________________________ [DATE] Notary Seal: I confirm that I am the parent or legal guardian of [ACTOR], and I hereby irrevocably consent to the foregoing grant and agreement on his or her behalf. I agree to indemnify the company, its licensees, agents, successors and assigns, and hold each of the foregoing harmless from any and all damages, losses and expenses resulting from any actual or purported disaffirmance or rescission of the above agreement by the signatory thereto. _________________________ Parent or Legal Guardian _________________________ [DATE] This is a sample contract provided for example only and may not be legally binding in your jurisdiction; when creating legal documents, seek the consultation of an attorney.