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KINGDOM PRODUCTIONS DOCUMENT #2017-003

EXTRAS RELEASE FORM


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Extra’s Name: ...................................................................................................................... Extra’s Age: ................

Director’s Name: .......................................................................................................................................................

Contact Number: .......................................................................................................................................................

Project Title: ..............................................................................................................................................................

For good and valuable consideration, the receipt and sufficiency where of is hereby acknowledged:

I hereby KINGDOM Production Company., its affiliates, licensees, successors and assigns (here in after collectively the
"Company") the irrevocable right, in perpetuity, to use the footage taken of me (the “Footage”) in connection with the
production, distribution and exploitation of the feature film presently entitled "Film Production Adventure" (the "Film"), to
edit, delete, alter and amend the Footage in any manner and to juxtapose the Footage with any other material. This grant of
rights includes the right to use my image, voice and all instrumental, musical or other sound effects produced by me
contained in the Footage without restriction of any kind or nature whatsoever. The Film and/or the Footage may be
exploited throughout the world, in perpetuity and in any and all media now or hereafter devised without any payment to me.
The Company has no obligation to use the Footage in the Film.

I do hereby release and forever discharge the Company of, from and against all actions, causes of action, claims, suits,
judgments and demands which may be made against the Company by virtue of my appearance, in any manner whatsoever,
in the Film.

Signed by the Extra: ..................................................................................................................... Date: ......................................

Signed on behalf of KINGDOM: .................................................................................................................................................

Print name: .................................................................................................................................. Date: .......................................

EXHIBIT A #3

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