Growing Up Chico Model Release

If you are submitting to the documentary film “Growing Up Chico,” the following model release is required for your participation.

Each person must submit their own release form.

After completing the release, you can upload your video footage here.

Please complete the model release below.

Growing Up Chico Model Release Form

Growing Up Chico Model Release Form

If the name of project is different than above, please list the project you are involved with.
Please type your full legal name as a digital signature acknowledging that you have read and understood the terms of the above listed release.
Please tell us how you would like your name listed in the credits if different from you legal name.
Please Enter your address and we will send you a copy of the release.
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I have read, understood and acknowledge the terms of participation, the model release, and limited liability as noted above.
Do not continue if you disagree.
I understand that: My participation is voluntary, I will not receive financial compensation, the Producer has full editorial control over how my interview is used, the Project may be distributed publicly and commercially; and I release and discharge the Producer and Koa Aloha Media from any claims arising from the use of my participation, including but not limited to claims for defamation, invasion of privacy, or right of publicity.
Do not continue if you disagree.
I agree to not post or share, on any media, any on-set footage images, set photos, cast photos, behind the scenes images, or still photos of the production of the project without written consent from Brian Barsuglia.
Do not continue if you disagree.

Filled out the release? Upload Here!