Permission and Release Form for Photographic / Video / Audio Production
The undersigned enters into the following agreement (“Agreement”) with 911 Academy Inc. (“Producer”). I have been informed that Producer is capturing footage and that my name, likeness, image, voice, appearance and/or performance is being recorded and made part of the recording in which I may appear, at any point in time.
In consideration of all the above, I hereby acknowledge receipt of reasonable and fair consideration from Producer. I have read, understand and agree to all of the above and that the rights granted Producer herein are perpetual and worldwide:
If this person is under age 18 please fill out information below.
Participant's info or legal guardian must sign below. I certify that I am the legal guardian of the model named above. I give my consent to the foregoing on his or her behalf.
Leave this empty:
Your legal name
Your email address
Signed by Chad Talbot
Signed On: November 30, 2020
If you have questions about the contents of this document, you can email the document owner.
Document Name: Video Release
Agree & Sign