1. By signing this document you are consenting to the use of your image within the following context:
 Still Images/Picture
 Audio clips/Recordings
 Filming
Your image will then be used, through a process of editing, within Frightened Family Studios up and coming feature trailer. Furthermore, you are consenting to the use of your image for all third parties that may be interested in Frightened Family Studio’s intellectual property.
Name of Contact:
Mobile:
Telephone:
Full Name:
Date of Birth:
Allergies: Eg Latex/Penicillin
Emergency Contact Details:
House Name/Number:
Street/Road Name:
City/Town:
Postal Address:
Address:
Signature:
Date Signed:
Date created: 19/11/2014
Company contact details:
Finn: 10691fm08@priorycofe.com
George: 10681gl08@priorycofe.com