Location Release Form
Production Title: A2 Media Studies Music
Video – Bet You Wish
Producer: Lauryn Reid and Layla Abdi
Contact number/ Email: Lauryn –
07904030159/ laurynreid55@gmail.com
Name of Location: College Studio
Address of location: Essex Road, Leyton, London E10 6EQ
I have received details from …………………………………………………….(student
name) concerning the above location. I
am willing to give permission for use of the location to film a student
project, under the following conditions:
The Premises will
be made available for (date/time)………………………
We shall ensure
that the Premises are left in good order after use. We agree that we shall be responsible for any
loss or damage directly arising from our use of the Premises.
Name (please
print)………………………………………………………………………………………………….
Contact Details ………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Signed………………………………………………………………………………………………………………………….
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