Independent Filmmaker Filming Consent Form
Please complete this form to provide your consent and production details for participation in this independent film project.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Role/Relationship to the Project
*
Please Select
Actor/Performer
Interviewee
Crew Member
Background/Extra
Other
Production/Project Title
*
Brief Description of the Filming
*
Filming Location(s)
Date(s) of Filming
Consent and Acknowledgment
*
I consent to be filmed and grant the filmmaker the right to record, use, and reproduce my likeness and voice in connection with this project, in all media, without time limitation or compensation.
Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit Consent
Submit Consent
Should be Empty: