‘Help Wanted’LOCATION RELEASE FORM

Permission is hereby granted for:

Filmmakers name: ___________________________________________________________

(hereafter referred to as “Producer”) to use the property and adjacent area located at

for the purpose of: ___________________________________________________________ and of photography with the right to exhibit and license others to exhibit all or any part of said photographs and recordings in any many Producer may desire without limitations or restriction of any kind. Said permission shall include the right to bring personal equipment (including props and temporary set materials) onto said property, and to remove the same after completion of work.

The above permission is granted for a period of _____________ beginning ______________

Producer herby agrees to hold undersigned harmless of and from any and all liability and loss which the undersigned may suffer or incur by reason of any activities or other damages to said property caused by any of the Producer’s employees or equipment on or about the above mentioned premises. Producer shall leave said premises in substantially as good condition as when received, reasonable wear and tear in accordance with this agreement excepted.

The undersigned hereby warrants he or she is the owner or agent of said premises: that (s)he is fully authorized to enter into this agreement and has the right to grant Producer the use of said premises and each and all of the rights herein granted.

Projects undertaken by the Producer are not intended for commercial use.

SIGNATURE OF PROPERTY OWNER: _________________________________________

PHONE: ______________________________ DATE: ______________________________

FILMAKER SIGNATURE: ____________________________________________________

PHONE: ______________________________ DATE: ______________________________

GUARDIAN SIGNATURE (if under 18): _________________________________________

GUARDIAN NAME (Print): ___________________________________________________

PHONE: ______________________________ DATE: ______________________________