Film/Movie/Sound Track Release Form
FILM/MOVIE/ SOUND TRACK R EL EASE FORM
I, _____________ ______________ (COMPOSER), who com pose d and own t he
copyright(s) to the music track( s) entitled:
_________________________________
_________________________________
_________________________________
_________________________________
agree to allow ___________________________ (PRODUCER/FILMMA K ER), to
use my work in the production ent itled ___________ _________________
(FILM) . I, t h e COMP OSER, own the sole and legal copyright to the described
work, and hereby agree to the use of this work in the promotion, production and
distribution of the FILM, for the purposes of t he Street Grin d .
I am 18 years or over... .. . Y / N......( indicat e ch oice by circling)
Composer ______ ___________________________ __________________
Address_____________________________________________________
Telephone _________ ______ ____________________________________
Composer’s signature___________________________________________
Producer/Filmmaker_____________________________________________
Producer/Filmmaker’s Signatur e ___________________________________
Date_______________
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