The document is a consent form for an individual to contribute to and participate in a project. It specifies that in consideration of a production company allowing the individual to contribute, the individual consents to being filmed and recorded as part of their contribution, subject to unspecified terms and conditions. It collects information such as the individual's name, address, phone number, and has spaces for them to describe their contribution, the date it will take place, and for their signature and date.

1. pRoJEcr t'[= 'T.*ol( (',the project,,)
DESCRTPTTON OE CONTRIBUTTON
DATE OF FILM ING/CONTRIBUTION
NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT
,, /1 tn
, {i.,{i," I ..r* y'; ("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 of which has bLen fully explained to me, t neieny consent to the
filming and recording of my contribution to ano pjrticipation in the project ilo;""t to the
terms and conditions specified below.
Signed by Contributor
Dated ri /Cl f :ii[