The actor release form grants Colette White permission to photograph, record voices, and use images of Megan Rigby and Adam Mohammad in connection with a student music video. Both actors agree to adhere to the agreed upon schedule and make themselves available if reshoots are necessary. The actors certify they understand the release form by signing and providing contact details.

1. HAYDON MEDIA
ACTOR RELEASE FORM
I (the undersigned) hereby grant to COLETTE WHITE the right to photograph me and to record
my voice, performances, poses, actions, plays and appearances, and use my picture,
photograph, silhouette and other reproductions of my physical likeness in connection with the
student motion picture tentatively entitled A2 MUSIC VIDEO.
By my signature here I understand that I will, to the best of my ability, adhere to the schedule
agreed to prior to the beginning of my engagement. Additionally, I agree, to the best of my
ability, to make myself available should it be necessary to undertake re-shoots.
I hereby certify and represent that I have read the foregoing and fully understand the meaning
and effect thereof.
Name: Megan Rigby
Signature: Date: 12/2/2016
Telephone: 07954822733 Email: m.rigby003@live.com
Name: Adam Mohammad
Signature: Date: 12/2/2016
Telephone: 07689334528 Email: adam08@outlook.co.uk
PRODUCER NAME:_COLETTE WHITE
PRODUCER EMAIL: whitec028.312@lgflmail,org