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Actor Consent Form

This document is a written consent form for an actor, or their parent/guardian if the actor is under 18, to agree to being filmed for a project. It collects the actor's name, date of birth, contact information, and parent/guardian's name if applicable. It specifies the project name, director, and date(s) of filming. The declaration states that the producer has rights to use the actor's image and voice publicly. It also confirms the actor or guardian is aware of the character, shoot details, and expected work. The guardian agrees to supervise the child at all times during filming. The actor or guardian must sign and date the form.

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Abhinav Reddy Kaitha
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2K views1 page

Actor Consent Form

This document is a written consent form for an actor, or their parent/guardian if the actor is under 18, to agree to being filmed for a project. It collects the actor's name, date of birth, contact information, and parent/guardian's name if applicable. It specifies the project name, director, and date(s) of filming. The declaration states that the producer has rights to use the actor's image and voice publicly. It also confirms the actor or guardian is aware of the character, shoot details, and expected work. The guardian agrees to supervise the child at all times during filming. The actor or guardian must sign and date the form.

Uploaded by

Abhinav Reddy Kaitha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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WRITTEN CONSENT BY ACTOR

(To be signed by Parent/Guardian in case of children below the age of 18)

Name of Actor: __________________________________________________________

Name of Parent/Guardian: _________________________________________________

Date of Birth: __________________

Address: _______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Contact Number(s): 1)________________________ 2) __________________________

Date(s) of Work/Shoot: ________________________________________________________

Project Name: ________________________________ Director: ______________________

Copy of Photo ID proof to be attached along.

Declaration

I understand there is videotape(s) being taken of me/my child on these date _________________ to
__________________.
I give the ‘Producer/Director’ of this film, the right to use my/my child’s image and voice for public
viewing on the Internet, theatres, film festivals or in public gatherings.

I am aware of my character/my child’s character, location, hours of the shoot, and the type of work that is
expected of me/my child.

I am responsible for the Child’s wellbeing and safety at all times the Child is working/shooting. I agree to
supervise the Child at all times while the Child is on the set.

Signature of the Actor/Guardian Date:

©️ Annapurna College of Film and Media | 2023 | All rights reserved

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