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Release- Grant of Rights to Filmmakers

Thank you for your participation in our film! The documentary is presently titled Across America. We really appreciate you and your help!

The release form below grants the filmmakers and his agents permission to film you, record your voice and dialect, and use your name, likeness, and voice in perpetuity.

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Name *

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Grant of Rights to Filmmakers *

• I grant the filmmakers all rights to use my name, likeness, voice and/or all recordings of me in any and all media, including film, television, promotional material, internet, and print for perpetuity.

Agree

Thank you!