The document is a consent form for an individual to contribute to and participate in a project. It specifies that in consideration of the production company allowing the contributor to participate, the contributor consents to being filmed and recorded as part of their contribution, subject to unspecified terms and conditions. It includes fields for the contributor's name, address, phone number, and signature, as well as the project name, description of the contribution, and date of filming.

1. pRoJECr lte K $& fhtirur, (,,the projecr,,)
DESCRIPTION OF CONTRIBUTION
DATE OF FILM ING/CONTRIBUTION
NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT
(,,the Company,,)
NAME OF CONTRIBUTOR
ADDRESS OF CONTRIBUTOR
TELEPHONE NUMBER OF CONTRIBUTOR
ln consideration of the comp-any agreeing that I contribute to.and participate in the project,the nature and the content orwnicrinas oien tutty exprJr"o to me, I hereby consent to thefilming and recording of my contribution to ,no pirti.ibrti* in the project subject to theterms and conditions specified below.
Signed by Contributor