Top Shelf & Imaginary Friends – Music Video Talent Release Form

Top Shelf & Imaginary Friends – Music Video Talent Release Form
Production Details: Top Shelf – Music Video Filming

Date: 23/08/26 - 2pm-4pm - Whammy Bar, 183 Karangahape Road, Auckland CBD
Full name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number

Country CodeArea CodePhone Number
Email
example@example.com
Emergency Contact
Name

First NameLast Name
Phone Number

Country CodeArea CodePhone Number
Age confirmation
Parent / Legal Guardian (Required if participant is under 18)
Name

First NameLast Name
Phone Number

Country CodeArea CodePhone Number
Signature
Talent Release
I agree to participate in the filming of the Top Shelf x Imaginary Friends music video.

I understand that:

My image, voice and likeness may be photographed, filmed and recorded during the production.
The footage may be edited and used in the final music video and related promotional material.
The music video may be published on streaming platforms, social media, television, websites and other digital or physical media worldwide.
My participation is voluntary.
I will not receive payment or royalties for my appearance unless otherwise agreed in writing.
I release the artists, production crew and associated parties from claims relating to the lawful use of my appearance in connection with this production.
Consent - If I am 18 or older:

I confirm that I have read and understood this release and agree to its terms.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
If the participant is under 18:

I confirm that I am the parent or legal guardian of the participant named above.I have read and understood this release and give permission for them to participate in the filming and for their image, voice and likeness to be used as described above.
Signature
Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Privacy

The personal information collected on this form will be used solely for the administration of this production, including verifying consent and contacting participants if required. It will not be shared with third parties except where required by law.
Should be Empty:

Top Shelf & Imaginary Friends – Music Video Talent Release Form

Production Details: Top Shelf – Music Video Filming

Emergency Contact

Parent / Legal Guardian (Required if participant is under 18)

Talent Release

Consent - If I am 18 or older:

If the participant is under 18:

Privacy