This document is an adult contributor release form for a television programme. It states that in exchange for payment of £__, the contributor agrees to be filmed and recorded giving an interview/contribution/performance on __ date. The contributor acknowledges understanding the full nature of their participation. They consent to their contribution being reproduced, broadcast, and exploited without limitation or compensation. The producer has the right to edit the contribution as they see fit.

1. ADULT CONTRIBUTOR RELEASE FORM
To:
Adult
Contributor
Name/Address
Date:
Dear
Sirs,
[Programme
Title]
(“the
Programme”)
(working
title)
In
consideration
of
our
agreeing
to
pay
you
the
sum
of
£________
you
hereby
agree
to
the
recording
and
filming
of
the
interview/contribution/performance
(together
“the
Contribution”)
to
be
given
by
you
to
us
on
__________________
(and
on
any
other
dates
as
shall
be
mutually
agreed
between
us).
You
acknowledge
that
you
have
had
explained
to
you,
and
you
fully
understand,
the
full
nature
of
the
Programme
and
your
participation
in
it
and
you
agree
to
so
participate.
You
hereby
give
all
consents
necessary
for
the
reproduction,
exhibition,
transmission,
broadcast,
publicising,
previewing,
reviewing
and
exploitation
of
the
Contribution
without
time
limit
throughout
the
universe
by
all
means
and
media
(whether
now
known
or
hereafter
invented)
without
liability
or
acknowledgement
to
you.
We
shall
be
entitled
to
cut,
edit
and
translate
the
Contribution
as
we
deem
fit
and
we
shall
not
be
obliged
to
include
all
or
any
of
the
Contribution
in
the
Programme.
Yours
faithfully,
For
and
on
behalf
of
<>
Read
and
agreed:
.......................................
(signature)
Contributor
Name:
Address: