LATYMER MEDIA EqUIPMENT RELEASE FORM

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Name , Il.L,^". K-'^.' Group number: 5
Home number: Ofo 85f9 33J,2 Mobile number: b779, ?tf ?5)rlO
Camera/sound kit number: Edit station number: 5

Stills camera kit checklist Extras

Paglight/charger/bag
Digital Camera
Memory Ca Halogen Lighting Box ./ ,
Tie Clip mic
Boom Pole '-/"
harger
Admin checklist
Tape x }'
Tapecasexl ,
mera Bag Group folder I
CliPboard "- r'
Video camera kit checklist Clapper board I
Marker pen '-/
DV Camco rder -/ ./ Cf oth -.t'
Mains Power cable '/ 7'
Charger/ mains uTit ,/
Large batterY */' Other
Small battery ^lt)-
Uoril.^f-,L
Camera bag -_..
Tripod ,/,,'' n nl rt
b,s"*-(fl2 L -.r'
.-/

Tripod shoe '-/,.' rl

I
,r--'
Tripod case ." - t-Et1!146r,7- t^<- \
Shotgun mic / ,,.
HeadPhones '-"'

. I understand my responsibility in regard to the safe keeping of the above kit'

I agree to take the best possible care of it, and to report any damage or other
problems to the technician immediately'

o I promise to return all video, lighting and audio kit back to the Media is not
department, by 8.30 am the next school day following a shoot. If this
my specific responsibility, I promise to check that the relevant person in my
group has done so.

. I understand the need to check that the equipment is properly packed and
batteries charged overnight before returning it to the technician.

. I understand that misuse of equipment and failure to adhere to the guidelines

will result in not being able to use the equipment at future dates.

o I have signed and returned my equipment release contract '/'

. Collection/return arrangements for group? L)"*,ri" "o(LrL,*) b-lrlr'ln--.-
. Your individual
tl
equipment responsibilities during shoots?
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SIGNED' At1J Date: I i\llt r
 LATYMER MEDIA EQUIPMENT RELEASE FORM
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Namel lwuvti't-'--' Group number: 5 '']f-^\'->
Home number: ; LLL\i'c
l{"r-r Mobile number: 0._t( 51 )Lr )^^ /

Camera/sound kit numbert { Edit station number: S

Extras

Digital Camera Pag light/cha rgerlbag

Memory Card Halogen Lighting Box
Battery Tie Clip mic -/ 1
Spare Ba Boom Pole ,//
Battery CQh"arger
( s..;.-t <:t- f'a' .
Tripod ,.,r' Admin checklist
rripop Shoe n
Trip6d Bag ldp€ x +-
Ufoad cable Tape case x '/- /.'
Camera Bag Group folder /-
Clip board 4'--
Video camera kit thecklist Clapper board z
Marker pen ,-'/
DV Camco ,a", /
,/ Cloth ---/-
Mains Power cable -/ /
Charger/ mains unit /
Large batterY "-r/ Other '' u'
smltt battery -z/ --'/
Camera bag -/
C+l'i\L'"("'\
TriPod "" -/
Tripod shoe -'-
Tripod case / ,
Shotgun mic / r,
Headphones -/

. I understand my responsibility in regard to the safe keeping of the above kit'

I agree to take the best possi'ble care of it, and to report any damage or other
problems to the technician immediately'

o I promise to return all video, lighting and audio kit back to the Media
department, by 8.30 am the next school day following a shoot' If this is not
person in my
my specific responsibility, I promise to check that the relevant
group has done so.

. I understand the need to check that the equipment is properly packed and
batteries charged overnight before returning it to the technician'

. I understand that misuse of equipment and failure to adhere to the guidelines

will result in not being able to use the equipment at future dates'

o I have signed and returned my equipment release contract

. Collection/return
';;Ld;i; ;;;\
-
anrangepentp for grou,p?
L"r* i ;(" "'it \", L" '
,

Q*v,.,\ I

o Your individual equipment responsibilities during shoots?

SIGNED: Date: 1/ t/,t