Location Release Form
Production Title……Lucky/unlucky
Producer……Sammah and Fahmi
Contact number 07415225059……………………………………………………………………………………………….
Name
of Location……Essex road south
Address
of location……Leyton Sixth Form College, Essex Rd, London E10 6EQ, United
Kingdom.
I
have received details from …Fahmi and Sammah. Concerning the above
location. I am willing to give
permission for use of the location to film a student project, under the
following conditions:
1 The Premises will be made available for the
period 1 to
2 I confirm that we will own the entire
copyright and all other rights in the films, photographs and recordings made at
the location.
3 We shall have no obligation to use the
material that we film at the Premises in the Film.
4 We shall ensure that the Premises are left
in good order after use. We agree that
we shall be responsible for any loss or damage directly arising from our use of
the Premises.
5 We agree to provide you with an on screen
credit in the Film.
Name (please print)……AMY and Vanessa
Address : Leyton Sixth Form
College, Essex Rd, London E10 6EQ,
Position……Teachers……
Company (if applicable)…Leyton sixth form college Media
department
Signed…… Vanessa Stead Clyne and Amy
Hellerman
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