Behind-the-Scenes Release Form
Grant permission for the use of your likeness, voice, and participation in behind-the-scenes media.
Participant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Project or Production Title
*
Date of Participation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of Filming/Recording
*
Your Role or Involvement (e.g., crew, guest, talent)
*
Type(s) of Behind-the-Scenes Media Covered
*
Photographs
Video Recordings
Audio Recordings
Other
Are there any restrictions on the use of your appearance or participation?
*
No restrictions
Yes, please specify below
If you have restrictions, please describe them here
Please provide your signature to confirm your consent and agreement with the terms above.
*
Submit Release
Submit Release
Should be Empty: