Appearance Release

Footage · Voice · Likeness

Grant of rights

I grant Northlight Pictures the irrevocable right to record my appearance, voice, name, and likeness, and to edit, reproduce, broadcast, and distribute the footage in which I appear, in all media now known or later devised, for the uses, territory, and term marked below.

I release Northlight Pictures from any claim arising from this use and understand I will not be entitled to any further compensation beyond any agreed fee.

Participant

Participant name

Role / on-screen as

Phone

The production

Production / project

Producer

Recording date

Usage rights granted

Broadcast / TV

Streaming / VOD

Promotional / trailers

Social media

Territory

Term

Participant signature

Date

Parent / guardian signature

Guardian name (if participant is a minor)

Required only if the participant is under 18.

Northlight Pictures · Los Angeles Release no. NLP-______