OCCIDENTAL COLLEGE

1600 Campus Road, Los Angeles, CA 90041-3314

ACTOR RELEASE FORM

PRODUCTION TITLE: ______(Production)

ACTOR NAME: ______

In consideration of my participation in the Occidental College Production named above, I, the undersigned, do hereby expressly and irrevocably authorize Occidental College, its officers, trustees, agents, representatives, employees, students and volunteers (the College), to take photographs and video (Photographs) of me, and interview, publish, print and broadcast my voice and Photographs through the use of brochures, publications, posters, printed materials, displays, signs, TV/video/audio broadcast and internet/web or other electronic means. The term “Photograph” as used in this authorization is intended to have the broadest definition possible and includes motion picture (with or without sound) or still photography in any format (including electronic), as well as videotape, videodisc, web and any other means of recording and reproducing visual images and sound.

I agree that the Occidental College student director of this Production shall own any and all rights in the Photographs, and I waive any and all uses of my name, likeness, voice, or character including but not limited to, the right to reproduce, distribute, sell, transmit, publish, exhibit, or otherwise use the Photographs, Production or any portion thereof. I understand that in proceeding with the Photographs and Production, the College (including the Occidental College student director) is doing so in full reliance on the foregoing permission.

I release whatever rights, title, or property interest I may have in the Production. I understand that I shall receive no compensation for my appearance and participation in the Production or the Photographs.

Further, I hereby unconditionally release Occidental College, its officers, trustees, agents, representatives, employees, students and volunteers (the Released Parties) from any and all liability that may or could arise from the taking, recording, exhibition, telecast, publication, distribution or other use of the Photographs and the Production. I agree to indemnify and hold harmless the Released Parties from and against any claim for monetary compensation or damages (including reasonable attorneys’ fees) resulting from, related to, arising out of, or concerning, the Production or the Photographs.

By signing below, I (Actor) ______understand that I am participating/performing in a NON-UNION, NON-SAG STUDENT PRODUCTION.

Signature: ______/ Date: ______
Home Address: ______
______
Telephone Number: ______

IF ACTOR IS UNDER THE AGE OF 18, PARENT/GUARDIAN SIGNATURE IS ALSO REQUIRED BELOW.

PRODUCTION TITLE: ______

ACTOR NAME: ______

By signing below, I represent that I am at least 18 years of age and am the parent or guardian of the Actor identified above. I have read the foregoing agreement and am familiar with all of the terms and conditions thereof and I consent to its execution by the Actor. I further state that I am fully competent to sign this Agreement; and that I execute this release for full, adequate, and complete consideration fully intending for myself, for the Actor, and for Actor’s family, estate, heirs, administrators, executors, personal representatives, and legal predecessor, successors, and assigns to be bound by the same.

I also represent that, in compliance with section 11757 of Article 1 of Subchapter 2 of Chapter 6 of the Division of Labor Standards Enforcement (https://www.dir.ca.gov/t8/11757.html), I shall be present with and accompany, and shall be within sight or sound of, Actor, at all relevant times.

Parent/Guardian
Signature: ______/ Date: ______

1

OCCIDENTAL COLLEGE

1600 Campus Road, Los Angeles, CA 90041-3314

ACTOR RELEASE FORM

Parent/Guardian Printed Name and Relationship to Minor:
______
______
Home Address: ______
______
Telephone Number: ______

1