Location Release Form

Date: 08th February 2013 Production Company: Sathura Productions Contact Number: 01856798542 Email address: Productions@sathuraproductions.com Website: www.sathuraproductions.com To be completed by Owner Name: Kit Address: Fairways Avenue, Brookfield Centre, Cheshunt, Herts. Number: 01992 877 990 Email: Fairwayslimited@hotmail.co.uk For good and valuable consideration of _____________________________ herein acknowledged as received, and by signing this release I hereby give the company and all agents related permission to operate in the premises of the location stated above, in any of SEIZED production, advertising and marketing. I agree that the images may be combined with other images, text and graphics and cropped, altered or modified. I agree that I have no rights to the images, and all rights of the images belong to the company named above. I acknowledge and agree that I have no further right to additional consideration or accounting, and that I will make no further claims for any reason to the company. I acknowledge and agree that this release is binding upon my heirs and assigns and I agree that this release is irrevocable. I consent to the inclusion of this Location release form including the personal details recommended in it being added to the database owned or operated by Sathura Productions.

Witnessed by: Actor Signature: Heads of Production: Paige Atkins and Katie Li.