Codsall Community High School

Elliotts Lane
Codsall
Wolverhampton
WV8 1PQ

Monday 13th July 2015

As you are already a wear, in September 2015 recording will

begin for our A2 Media Coursework. We will be creating a music
video for the song Taylor Swift Out of the Woods. You have
been asked to take part in the filming of this video as an
actress, actor or dancer. By signing below you agree in taking
part within the music video and are understand that it will be
used online within our coursework, put online for the public to
see and on other distribution platforms.
Thank you in advanced for your cooperation.
Charlotte Bell, Kate Harrold, Samantha Leason and Sophie
Ordidge.
Role within
music video

Name of
Participant

Signature of
Participant

Date Signed

Actress/Singer

Kate Harrold

K.Harrold

15.7.15

Dancer

Samantha
Leason

Saman
tha.L

15.7.15

Actor

James Ellis

James.O.Ellis

15.7.15