SHORT FILM RELEASE FORM

Name of Short Film ("the Film") Numb.

Name of Production Company/Organizers
half-moon entertainment
Date of Filming ..............................07/01/2017..................................................................................
Name of Contributor Ocean Atlantic
Contact Number of Contributor 07596843280
In consideration of the Organizer agreeing that I contribute to and/or participate in the Film, the nature
and the content of which has been fully explained to me, I consent to the filming and recording of my
contribution to and/or participation in the Film subject to the terms and conditions specified below.
Signed by Contributor

s.moore..
Dated06/01/2017..
If the Contributor is 18 or under this form must be signed by a Parent or Legal Guardian.
I consent to [name of Contributor] entering into this agreement.
Signed by Parent or Legal Guardian

........................e.lothian.......................................................
Dated ...................................................12/01/2017.................................................................................