Film Location Release Form
PROJECT DETAILS
Filmmaker's name: Ashley Dallas Alexandra Curow | Production Company: Story Darling Studios Inc. | Project Title: Inside Creative Lives
Property Owner's Name
First Name
Last Name
Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Description of Premises
Filming Dates From
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Month
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Day
Year
Date
To
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Month
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Day
Year
Date
Fee $ (may not be applicable)
I, the property owner, agree with the following statements.
In consideration of the fee indicated above, I permit the production company participants to enter and remain the property between the dates described above for their film production.
This permission includes right to take motion pictures, videotapes, sound recordings.
I certify that I have the full right and authority to enter into this agreement and grant the rights herein granted, and that the consent or permission of no other person, firm, or entity is necessary in order to enable you to exercise or enjoy the rights herein granted.
Date
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Month
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Day
Year
Date
Property Owner's Signature
Submit
Submit
Should be Empty: