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Consent form for young actors
1. 01/02/12
Dear Parent/ Carer
The current year 13 Media Studies students are working on an important project for their
coursework, which will count towards their final grade for A levels. The coursework includes the
production of five-minute films by students in groups of two or three.
Indigo Motion Pictures would appreciate the participation of your son/daughter in our film. If you
consent, we may require your son/daughter to attend filming sessions (no later than 4:30 pm or 5:00
pm) over two or three days in February.
Our film, ‘After the Riots’, shows how the anti-social and destructive behaviour of the August Rioters
affected the lives of a child and her widowed father. The central themes of the film are social
disintegration, generational divides and personal loss.
The film will be seen by examiners and is likely to be shown at the School’s annual Oscars Awards
ceremony in June which is open to students, families, and staff.
Please indicate your decision by deleting the option that does not apply and signing at the bottom of
the slip. Your signature confirms that Indigo Motion Pictures will have the right to use your ward’s
image in our film and to showcase the film in reputable settings.
Kind regards,
Indigo Motion Pictures
Farjana Tahmin and Jahannara Ali
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I do/do not give permission for my daughter/son to participate in the film, After The Riots.
Signed...............................................................
Date .......................................