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RELEASEFORM
WORKING TITLE: Help The Hatters
Brief Outline: A Community Video on Stockport County’s Help The Hatters Volunteer Group.
I/We agree to participate in the production of the above mentioned item, the nature and
composition of which has been fully explained to me/us and hereby give consents for the
filming of and/or recording and/or broadcasting of my/our acts, material and performances to
Clarendon Sixth Form College or their affiliates.
I/We acknowledge this includes, without limitation the sole and exclusive rights for
Clarendon Sixth Form College or their affiliates to tape, record, cut, edit or otherwise fix
and to cablecast, duplicate or distribute any filming, recording or broadcasting or any part
thereof in which my/our acts, materials, expertise or performance are included, in any form
and at any time in/to all countries of the world and to use my/our name or likeness in/or
relation to the same.
Signed:
...................................................................................................................................................
Print name:
...................................................................................................................................................
Contact address:
...................................................................................................................................................
Telephone No
...................................................................................................................................................
Email:
...................................................................................................................................................
*Your details may be included in CLARENDON SIXTH FORM COLLEGE website. Please
indicate if you give your approval for your details to be used in this way.
YES/NO
Details for Website:
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
Please return to:
Address: 31 Roker Park Avenue
Tel: 07975 625825
Email: adampaterson@me.com
Website: www.adampatersonbtec.weebly.com

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10. release form

  • 1. RELEASEFORM WORKING TITLE: Help The Hatters Brief Outline: A Community Video on Stockport County’s Help The Hatters Volunteer Group. I/We agree to participate in the production of the above mentioned item, the nature and composition of which has been fully explained to me/us and hereby give consents for the filming of and/or recording and/or broadcasting of my/our acts, material and performances to Clarendon Sixth Form College or their affiliates. I/We acknowledge this includes, without limitation the sole and exclusive rights for Clarendon Sixth Form College or their affiliates to tape, record, cut, edit or otherwise fix and to cablecast, duplicate or distribute any filming, recording or broadcasting or any part thereof in which my/our acts, materials, expertise or performance are included, in any form and at any time in/to all countries of the world and to use my/our name or likeness in/or relation to the same. Signed: ................................................................................................................................................... Print name: ................................................................................................................................................... Contact address: ................................................................................................................................................... Telephone No ................................................................................................................................................... Email: ................................................................................................................................................... *Your details may be included in CLARENDON SIXTH FORM COLLEGE website. Please indicate if you give your approval for your details to be used in this way. YES/NO Details for Website: ................................................................................................................................................... ................................................................................................................................................... ................................................................................................................................................... ................................................................................................................................................... Please return to: Address: 31 Roker Park Avenue Tel: 07975 625825 Email: adampaterson@me.com Website: www.adampatersonbtec.weebly.com