ACTOR CONSENT AND RELEASE FORM
Production Title: ‘Every Town’s Ours, Every One’s Kin’
Production Company: Sivakkcalai Pictures
Producer/Director: Sivakkrishan Calaiyarasan
Date(s) of Production: Sunday 24th August 2025
This consent form confirms that I, the undersigned actor, voluntarily agree to participate in the above-named production and grant the production company the rights described below.
I hereby grant to the Production Company, its agents, licensees, successors, and assigns the irrevocable right to:
Record my image, voice, and performance by any means (including photography, audio, and video).
Edit, adapt, and incorporate my performance into the production and related materials.
Use my likeness, voice, and performance in connection with the production for any purpose, including but not limited to promotion, distribution, broadcasting, streaming, and exhibition in any media now known or later developed, worldwide, in perpetuity.
Volunteer role — No monetary compensation provided.
I acknowledge that this agreement covers the entire consideration for my participation.
I release and discharge the Production Company from any and all claims, demands, or causes of action arising out of or in connection with my participation, including any claims relating to defamation, invasion of privacy, or infringement of rights of publicity.
I agree not to disclose any confidential or proprietary information learned during the course of production, including storylines, scripts, or behind-the-scenes details, without prior written consent from the Production Company.
This agreement shall be governed by and interpreted in accordance with the laws of England and Wales (or Scotland/Northern Ireland as applicable).
Actor Information and Signature
Full Name: ___________________________________________
Signature: ___________________________________________
Date: _______________________________________________
Optional (recommended for records):
Email: __________________________ Phone: __________________________
Production Representative
Name: Kris Sivakrishan Sooriya
Title: Director / Producer
Signature: ___________________________________________
Date: _______________________________________________