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Harrow College Media

     Permissions of access to location form
     With reference to the following production: Rum and Redbull Music Video


     Produced by: Irfaat Nurudin, Marcia Preciosa, Courtney Lang and Jason Pregal


     In consideration of the request for audio / video recording as follows:

     Location: Brookshill Cemetery

     Date: 22.11.11

     Time: 11.00am – 4.00pm




     Please tick / fill in as applicable:

      Permission is given

      Permission cannot be given

     × Permission is given subject to the following conditions:

               No shooting the gravestones names
               Don’t disturb the mourners
               Don’t cause disorder of the gravestones


     Name (Please print): Marcia Preciosa                   Date: 22.11.11

     Position: Cameraperson

Address:   Brookshill
Harrow Weald,
Middlesex
HA3 6RR



     Contact telephone number:07919383412
Harrow College Media

Actor / Contributor Consent form
With reference to the following production: Rum and Redbull Music Video


Produced by: Courtney Lang




In consideration of the non-remuneration agreement between myself and Harrow College
Media I consent to the performance / interview / contribution given by me to be used in the
above production.

This agreement also allows ‘unlimited’ future copying / broadcasting of the said material
without payment.

This agreement also allows Harrow College Media and the above named producer /
production company to exhibit / exploit the performance / interview / contribution in any
contemporary or future audio-visual media throughout the territories of the United Kingdom
and the rest of the World.



Names (Please print): David Williams
 Nelissa Rose
                      Irfaat Nurudin              Date: 12.12.11
Esther Parkinson
 Jason Pregal
Courtney Lang

Address (Please print): Brookshill,
Harrow Weald,
Middlesex
HA3 6RR


Contact telephone number: 07946533808
Permission of access and Actor Consent Form

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Permission of access and Actor Consent Form

  • 1. Harrow College Media Permissions of access to location form With reference to the following production: Rum and Redbull Music Video Produced by: Irfaat Nurudin, Marcia Preciosa, Courtney Lang and Jason Pregal In consideration of the request for audio / video recording as follows: Location: Brookshill Cemetery Date: 22.11.11 Time: 11.00am – 4.00pm Please tick / fill in as applicable:  Permission is given  Permission cannot be given × Permission is given subject to the following conditions: No shooting the gravestones names Don’t disturb the mourners Don’t cause disorder of the gravestones Name (Please print): Marcia Preciosa Date: 22.11.11 Position: Cameraperson Address: Brookshill Harrow Weald, Middlesex HA3 6RR Contact telephone number:07919383412
  • 2. Harrow College Media Actor / Contributor Consent form With reference to the following production: Rum and Redbull Music Video Produced by: Courtney Lang In consideration of the non-remuneration agreement between myself and Harrow College Media I consent to the performance / interview / contribution given by me to be used in the above production. This agreement also allows ‘unlimited’ future copying / broadcasting of the said material without payment. This agreement also allows Harrow College Media and the above named producer / production company to exhibit / exploit the performance / interview / contribution in any contemporary or future audio-visual media throughout the territories of the United Kingdom and the rest of the World. Names (Please print): David Williams Nelissa Rose Irfaat Nurudin Date: 12.12.11 Esther Parkinson Jason Pregal Courtney Lang Address (Please print): Brookshill, Harrow Weald, Middlesex HA3 6RR Contact telephone number: 07946533808