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PARTICIPANT RELEASE FORM
FOR STUDENT VIDEO and PHOTOGRAPHY PRODUCTION
Title (working or provisional):…My Lover Music Video
Name/s of producer/s: Holly Elsom
This section to be completed & signed by interviewee/participant:
Name:Carina Blade
I agree to participate in the production named above. The nature
and composition of the video/photoshoot have been explained to
me and I hereby give my consent for the voice and/or picture
recordings made of me, and my contribution, to be edited and used
at the discretion of the Producers. I acknowledge that by signing
this form I give up all claims of ownership, income, editorial control
and use of the resulting voice and/or picture recordings and assign
all copyright ownership to the Producer.
Signed:
Date: 04/10/2021

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Carina release form no fee #2(1)

  • 1. PARTICIPANT RELEASE FORM FOR STUDENT VIDEO and PHOTOGRAPHY PRODUCTION Title (working or provisional):…My Lover Music Video Name/s of producer/s: Holly Elsom This section to be completed & signed by interviewee/participant: Name:Carina Blade I agree to participate in the production named above. The nature and composition of the video/photoshoot have been explained to me and I hereby give my consent for the voice and/or picture recordings made of me, and my contribution, to be edited and used at the discretion of the Producers. I acknowledge that by signing this form I give up all claims of ownership, income, editorial control and use of the resulting voice and/or picture recordings and assign all copyright ownership to the Producer. Signed: Date: 04/10/2021