FILMING RELEASE FORM

PRODUCTION COMPANY DEVILS AVALANCHE FILMS LTD

4 Earlswood Drive
Alderholt
Hampshire
SP6 3EN
Tel. 01425 650385

PRODUCTION THE SEASON OF THE WITCH (2009)

Director: Peter Goddard
Producer: Daniel Coffey

LOCATION Crowe Church/ Hollybush Cottage

DATE Saturday 22nd August/Sunday 27t h September 2009

SUBJECT FULL NAME ………………………………………………………………………..

SUBJECT ADDRESS ………………………………………………………………………..

………………………………………………………………………..

………………………………………………………………………..

AGE ………………………………………………………………………..

I (the Subject) acknowledge by signing this form and, subject to restrictions stipulated and
agreed, that I give up all claims of ownership, income, editorial control and use of the
resulting video/images/sound and assign all copyright ownership to Devils Avalanche Film.

I have read this form carefully and fully understand its meanings and implications and I
understand that I do not own the copyright of the recorded material.

STIPULATED RESTRICTIONS ………………………………………………………………………

SIGNED SUBJECT ………………………………………………………………………..

PARENT/GUARDIAN ………………………………………………………………………..

SIGNED FOR PRODUCTION

COMPANY ………………………………………………………………………..

DATE ………………………………………………………………………..