This document is a release form for a contributor to a project. It specifies that in consideration of the production company allowing the contributor to participate in an unnamed project, which has been explained to the contributor, the contributor consents to being filmed and recorded as part of their contribution. The form is signed by the contributor and dated.

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