Film/Movie/Sound Track Release Form

FILM/MOVIE/SOUND TRACK RELEASE FORM
I, ___________________________ (COMPOSER), who composed and own the

copyright(s) to the music track(s) entitled:
_________________________________
_________________________________
_________________________________
_________________________________
agree to allow ___________________________ (PRODUCER/FILMMAKER), to
use my work in the production entitled ____________________________
(FILM). I, the COMPOSER, own the sole and legal copyright to the described
work, and hereby agree to the use of this work in the promotion, production and
distribution of the FILM, for the purposes of the Street Grind.
I am 18 years or over......Y / N......(indicate choice by circling)
Composer ___________________________________________________
Address_____________________________________________________
Telephone ___________________________________________________
Composer’s signature___________________________________________
Producer/Filmmaker_____________________________________________
Producer/Filmmaker’s Signature ___________________________________
Date_______________
Music Release Form
A separate copy of this form to be completed by each musician/singer
I hereby acknowledge my participation in the submitted movie, show, video or website
__________________Minute 5:15_________________________________
Name/Title of Program
I hereby authorize you to use my film/movie/music/video as heard within the program

and grant all rights to said production owner to use such recordings, in whole or in part
for submission to the "Minute 5:15". I also acknowledge that all
film/movie/musical/video content is original in nature and I own the sole and legal
copyright to described work, and hereby agree to the use of this work in promotion,
production and distribution purposes.
I certify and guarantee that I am at least 18 years of age or older.
You may also use my name, and/or biography for publicity, promotion, production and
distribution as deemed necessary.
__________________________________________________
Produced by
__________________________________________________
Signature of musician/singer
__________________________________________________
(Please print music performers full name here)
__________________________________________________
Your name and music title to appear in the credits
__________________________________________________
Address
__________________________________________________
City, State, Country, Zip
__________________________________________________
Telephone
__________________________________________________
Fax
__________________________________________________
Email
__________________________________________________
Website
__________________________________________________
Date
PHOTOGRAPHY/VIDEO RELEASE FORM
To Whom It May Concern:
I (the undersigned) do hereby confirm the consent heretofore given you with
respect to your photographing me or my child in connection with your
video/television program entitled Minute 5:15
________________________________________________________________
___________, and I hereby grant to you, your successor, assigns and licensees
the perpetual right to use, as you may desire, all motion pictures and sound track
recordings which you may make of me or my child, and the right to use my name
and/or child’s name or likeness in or in connection with the exhibition or any other
use of such video or recording.
I am over eighteen years of age. Y/N Please circle one.
Signature: _______________________________________________________
Name (print): ____________________________________________________
Name of Child: ___________________________________________________

(print)
Home Address: ___________________________________________________
________________________________________________________________
Phone Number(s):
________________________________________________________________
Date: ___________________________________________________________

Film/Movie/Sound Track Release Form

Uploaded by

Copyright:

Available Formats

Film/Movie/Sound Track Release Form

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Film/Movie/Sound Track Release Form

Uploaded by

Copyright:

Available Formats

FILM/MOVIE/SOUND TRACK RELEASE FORM

I, ___________________________ (COMPOSER), who composed and own the

I am 18 years or over......Y / N......(indicate choice by circling)

Producer/Filmmaker’s Signature ___________________________________

I hereby acknowledge my participation in the submitted movie, show, video or website

I hereby authorize you to use my film/movie/music/video as heard within the program

I certify and guarantee that I am at least 18 years of age or older.

To Whom It May Concern:

I am over eighteen years of age. Y/N Please circle one.

Name (print): ____________________________________________________

Name of Child: ___________________________________________________

Home Address: ___________________________________________________

You might also like