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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