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BTEC Media: Film
Production
Date:
CONTRIBUTORS RELEASE FORM
Title of film/project: ……………………………………………………………………………………..
Recording date: / /
I/We agree to participate in the recording of the above mentioned production the nature and
composition of which has been fully explained to me and hereby give consent for the filming and/or
recording of my/our interviews, acts and performances.
I/We agree that the film/tape and/or sound recordings may be cut and edited for the production or
publicity material associated with the production and that there is no guarantee that my contribution
will appear in the final edited version of the production.
I/We acknowledge that the production and the publicity material may be advertised and televised at any
time and from time to time throughout all countries of the world.
I/We hereby assign and grant you the sole and exclusive copyright throughout the world in to and in
connection with my performance hereunder for exploitation in all media for the full period of such
copyright including any renewals or extensions thereof.
I/We hereby grant to you all consents and permissions pursuant to the Copyright Designs and Patents
Act 1988 and any re-enactment thereof.
Signed (contributor) : …………………………………………………… Date: …………………….
Name in capital letters: ……………………………………………………………………………….
(this information will be taken as the correct spelling of your name)
Signature on behalf of the filmmaker: ……………………………………………………………………
Date: ……………………………………………………………………………………………………….
Culture In The Digital Age
11 05 22
11/05/22
Z Bainbridge
11/05/22
S Peverley
SCARLETT PEVERLEY

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s FORM.pdf

  • 1. BTEC Media: Film Production Date: CONTRIBUTORS RELEASE FORM Title of film/project: …………………………………………………………………………………….. Recording date: / / I/We agree to participate in the recording of the above mentioned production the nature and composition of which has been fully explained to me and hereby give consent for the filming and/or recording of my/our interviews, acts and performances. I/We agree that the film/tape and/or sound recordings may be cut and edited for the production or publicity material associated with the production and that there is no guarantee that my contribution will appear in the final edited version of the production. I/We acknowledge that the production and the publicity material may be advertised and televised at any time and from time to time throughout all countries of the world. I/We hereby assign and grant you the sole and exclusive copyright throughout the world in to and in connection with my performance hereunder for exploitation in all media for the full period of such copyright including any renewals or extensions thereof. I/We hereby grant to you all consents and permissions pursuant to the Copyright Designs and Patents Act 1988 and any re-enactment thereof. Signed (contributor) : …………………………………………………… Date: ……………………. Name in capital letters: ………………………………………………………………………………. (this information will be taken as the correct spelling of your name) Signature on behalf of the filmmaker: …………………………………………………………………… Date: ………………………………………………………………………………………………………. Culture In The Digital Age 11 05 22 11/05/22 Z Bainbridge 11/05/22 S Peverley SCARLETT PEVERLEY