PARTICIPANT RELEASE FORM
FOR STUDENT VIDEO & FILM PRODUCTION
Programme Title
(working or provisional): A2 MEDIA STUDIES
Name/s of producer/s: MELISSA ALDERTON ..
This section to be completed & signed by interviewee/participant:
Name:VALENTINA NENKOVA..(print)
I agree to participate in the production named above. The nature
and composition of the programme have been explained to me and
I hereby give my consent for the voice and/or picture recordings
made of me, and my contribution, to be edited and used at the
discretion of the Producers. I acknowledge that by signing this form
I give up all claims of ownership, income, editorial control and use
of the resulting voice and/or picture recordings, and assign all
copyright ownership to the Producer.
Signed:
V.Nenkova
Date: 26/10/2016.