Tattoo Clearance Release Form
For Feature Film, Television Series & TV Commercials
Talent's Details
Talent's Full Name
*
First Name
Last Name
Talent Phone Number
*
Please enter a valid phone number.
Format: 0000-000-000.
Talent Email
*
example@example.com
Tattoo Artist Full Name / Copyright Work Owner / Licensor's Detail
Tattoo Artist Full Name / Copyright Work Owner / Licensor Name
First Name
Last Name
Tattoo Artist Email
*
example@example.com
Tattoo Artist Phone Number
*
Please enter a valid phone number.
Format: 0000-000-000.
Tattoo Artist Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list all tattoos and full descriptions and location on body.
Tattoo Artist Full Name / Copyright Work Owner / Licensor Name's Signature
*
Date
*
-
Day
-
Month
Year
Date
Submit
Should be Empty: