Contributor Release Form
Full Name: Jack Toward
Address: Vane Terrace, Darlington, DL3 7AU
Telephone Number: 01325 461315
Shoot Location: Queen Elizabeth Sixth Form College, Studio
Date: 10/02/14
I hereby give Jack Toward , the irrevocable and unrestricted right to use and publish video footage or photographs of me that are taken on the above date. These may be used for educational purposes (that may include publishing to a public video forum, such as Youtube or a blog), film production or advertising.
Print Name: Holly Wright
Signature:
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