The short film release form documents Ocean Atlantic's agreement to contribute to the short film "Numb" produced by half-moon entertainment. It was signed by Ocean Atlantic on June 1, 2017 and a parent or legal guardian, E. Lothian, provided additional consent on January 12, 2017 since Ocean Atlantic was under 18 years old at the time of filming. Filming for "Numb" took place on July 1, 2017.

1. SHORT FILM RELEASE FORM
Name of Short Film ("the Film") ………………………………Numb……………………………….
Name of Production Company/Organizers
…………………half-moon entertainment…………………………………………………………………………
Date of filming ..............................07/01/2017..................................................................................
Name of Contributor …………………………Ocean Atlantic…………………………………………………
Contact Number of Contributor …………07596843280……………………………………………………
In consideration of the Organizer agreeing that I contribute to and/or participate in the Film, the nature
and the content of which has been fully explained to me, I consent to the filming and recording of my
contribution to and/or participation in the Film subject to the terms and conditions specified below.
Signed by Contributor …………s.moore………………………………………………………………..
Dated……………………06/01/2017…………………………………………………………………………..
If the Contributor is 18 or under this form must be signed by a Parent or Legal Guardian.
I consent to [name of Contributor] entering into this agreement.
Signed by Parent or Legal Guardian
........................e.lothian.......................................................
Dated ...................................................12/01/2017.................................................................................