CASTING CONSENT & RELEASE FORM Project Title: Òkò ÈrùProduction Company: MOSS PICTURES LTDCasting Director *Applicant Name *Date of BirthMonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212621252124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926Phone Number *Email Address *CONSENT AND RELEASE AGREEMENT By filling your name in the next field below, you agree to this CONSENT AND RELEASE AGREEMENT. Please read carefully. ParticipationI voluntarily agree to participate in the audition process for the " Òkò Èrù" project listed above. I understand that this does not guarantee a role, employment, or any future engagement. Recording & Use of LikenessI grant MOSS PICTURES LTD full permission to record, use, reproduce, display, and distribute my image, voice, name, and/or audition materials for casting, promotional, and commercial purposes associated with this project. ConfidentialityI agree not to disclose or discuss any aspect of the audition, script, or project content without written authorization from MOSS PICTURES LTD No Compensation for AuditionI acknowledge that I will not receive compensation for my audition unless explicitly stated otherwise. Should I be cast, a separate contract will be negotiated. OwnershipI understand that all audition materials and recordings are the sole property of MOSS PICTURES LTD and may be retained or used at their discretion. Legal Age or Guardian ConsentI confirm that I am at least 18 years of age. If under 18, I understand this form must be signed by a parent or legal guardian. Your Full Name *You must have read the consent and release agreement aboveSIGNATURE OF APPLICANTSignature *Start signing your signature hereYour browser does not support e-Signature field.Printed Name *Date *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212621252124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926IF APPLICANT IS UNDER 18 YEARS OF AGEParent/Guardian NameSignatureStart signing your signature hereYour browser does not support e-Signature field.DateMonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212621252124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926MOSS PICTURES LIMITEDSubmit
