APPEARANCE/LIKENESS RELEASE FORM

I, {your name added below}, understand that Digital Alliance Media is using these premises to {shoot, record, film, etc.} a production.

As such, I grant Digital Alliance Media and its client the right to record my image, likeness, voice, etc. for the purposes of this production.

Producers may edit any material recorded in any way they see fit.

Producers may also use any of the material in any marketing and/or publicity campaigns, or in any other method that is associated with the production, but they are not in any way required to use any of it if it does not work for their purposes.

I understand that I will not be compensated in any way for the recording and/or use of my image, likeness, voice, etc.

Production Name(Required)

Name of Participant(Required)

First Last

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Email(Required)

Signature of Participant or Legal Guardian if under 18(Required)