Cast & Crew Release Form – “Life’s a Drag”

I am a non-union actor, agreeing to appear in Life’s a Drag, produced by Silver State Storytellers.

I am not receiving any compensation for my participation in this project.

I hereby grant Silver State Storytellers the right to record and use my image, voice, likeness, performance, etc. for the purposes of this production.

I further grant Silver State Storytellers the right to use and/or distribute any material filmed, taped, or recorded of me in the production, as well as any promotions or advertising related to the production.

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Legal Name *

First

Last

Name as you would like it to appear in film credits and on IMDB *

Email *

Phone *

Address

Address Line 1

Address Line 2

City

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Zip Code

Role on Production

• Cast Member
• Crew Member

Do you wish to attend the film screening and awards ceremony at Brewery Arts Center on Saturday, June 3rd?YesNo

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By clicking the “Submit” button, I confirm that I have read and understood the terms stated above and hereby give my consent and agreement to abide by them.