This document is a release form for a contributor to a film or media project. It states that in consideration of the production company allowing the contributor to participate in the project, which has been explained to them, the contributor consents to being filmed and recorded as part of their contribution, subject to unspecified terms and conditions. It includes fields for the project title, the contributor's contribution, filming date, production company details, contributor name and address, and spaces for the contributor's signature and date.

1. Project")PROJECT TITLE
DESCRIPTION OF CONTRIBUTION
DATE OF FILMING/CONTRIBUTION
NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT
Company")
NAME OF CONTRIBUTOR
,4
ADDRESS OF CONTRIBUTOR
TELEPHONE NUMBER OF CONTRIBUTOR
ln consideration of the Company agreeing that I contribute to and participate in the Project,
the nature and the content of which has been fully explained to me, I hereby consent to the
filming and recording of my contribution to and participation in the Project subject to the
terms and conditions specified below.
Signed by Contributor
Dated
CONTRIBUTORS RELEASE FORM