Contributor Release Form

A Contributor release form is commenced between a contributor and a production studio, where the contributor grants his consent to use his contribution in the produced programme by accepting the certain official terms. Such a form can be used by various different individuals as per their needs and requirements.

Sample Contributor release form:

Details of the contributor:

First name: _____________ middle name: ____________ last name: ______________

Date of birth: ___/ ___/ ___ Age: ___________ Sex: __________ male/ female

Address:

Street no: ___________ City: ___________ State: ______________ country: ___________ ZIP: _____________

Landline number: ___________________________

E-mail id: __________________________________

Occupation: ________________________________

Details of the producer:

Name of the producer: ___________________

Name of the studio: ______________________

Registered Address: ______________________

Official contact number: ___________________

E-mail id: ________________________________

Website (if any): __________________________

Registration number of the studio: ______________

Clauses of contributor release:

Date of the release: ____/ ___/ ___

Type of the program: ___________ (movie/ stage drama/ serial)

Category: _____________ (social/ educational/ adult/ commercial/ comedy)

Hereby, this is to declare that the above mentioned distributor has participated in the above chosen program produced by the concerned producer.

For office purpose only:

Signed by the contributor: ___________________

Signed by the parents/ guardian if the contributor is a minor: _________________

Signature of the producer: ________________

Date: _________/ __________/ __________

Official seal: ________

Category: Release Forms