Actor_Release

“A general release does not extend to claims which the creditor does not know or
suspect to exist in his favor at the time of executing the release, which if known
by him must have materially affected his settlement with the debtor.”
I hereby agree to and do hereby indemnify and hold harmless Producer from and against any breach of
this release by me and/or any claim, action, proceeding, and/or demand brought, maintained, prosecuted
or made by or through me and from and against any and all loss, cost, damage and/or expense incurred by
Producer in connection with it, including, but not limited to attorneys’ fees and costs.
6. I acknowledge that Producer may be incurring substantial sums in reliance on the
permissions granted in this release and I shall in no event be entitled to rescind or terminate this release or
any of the rights granted under it, or to seek to do so, or to interfere with, restrain, enjoin or otherwise
impair the development, production, exhibition, distribution, promotion, advertising or other exploitation
of the Production or any other productions, or the use of any photographs, recordings or other materials
produced hereunder, and my sole remedy in any or all cases and in connection with any claims shall be an
action at law for actual money damages, if any.
7. This release will be governed by the laws of the State of New York applicable to
contracts to be wholly negotiated and performed in New York. Any claim, dispute or disagreement with
respect to this release will be submitted to the state or federal courts within the Borough of Manhattan in
the State of New York, which courts will have exclusive jurisdiction, and the parties consent to
jurisdiction in those courts. This release will be binding upon me and my heirs, successors, licensees and
assigns forever and shall be freely assignable by Producer. This release sets forth the entire
understanding of the parties and may not be modified except by a writing signed by me and Producer.
IF THE UNDERSIGNED IS UNDER 18 YEARS OLD, PARENT/GUARDIAN MUST EXECUTE
THE PARENTAL / GUARDIAN CONSENT ATTACHED HERETO AND INCORPORATED
HEREIN BY THIS REFERENCE
SIGNATURE:______________________________________ DATE:___________________________
PRINT NAME:______________________________________________________________________
LIST ALL PRIOR NAMES, ALIASES, PROFESSIONAL/STAGE NAMES, ETC.: ________________
____________________________________________________________________________________
DATE OF BIRTH:_____________________________________________________________________
ADDRESS:___________________________________________________________________________
CITY, STATE, ZIP:_____________________________________ TELEPHONE:___________________