LOCATION RELEASE FORM 2018

LOCATION RELEASE FORM:

Title of Production: _____________________________________________________
Director: _____________________________________________________________
Producer: ____________________________________________________________

NAME OF LOCATION: ___________________________________________________________

ADRESS OF LOCATION: ___________________________________________________________

OWNER OF LOCATION: ___________________________________________________________

EMAIL ADRESS: __________________________________________________________________

PHONE: ________________________________________________________________________

o I confirm that I give Aimee Squire the right to film, photograph and record at said location

o I confirm that I give Aimee Squire the right to publish video and/or audio footage recorded at
said location online in connection to the advertising and publicising of the production.

o I confirm that I give Aimee Squire the right to share video and/or audio footage recorded at
said location with the UAL Exam Board, and students, teachers and parents at The Henley
College.

o I confirm that I am aware that this production may be used in the future as work in a portfolio
that may be viewed by potential employers.

o I confirm that I am aware this film may be entered into Film Festivals and Competitions and I
give permission for any audio/visual footage recorded in said location to be featured.

o I confirm that I am aware that there may be temporary physical changes made to the location
in order to suit the production.

o I confirm that the agreed filming times may need to change if things do not go to
schedule/unforeseen circumstances and i will do my best to accommodate these changes to
ensure that filming goes ahead as easily as possible.

o I confirm that the use of this location will not give the owner any financial gain, and that
participation in this production is entirely voluntary

SIGNED: __________________________________________________________________

DIRECTOR/PRODUCER: _____________________________________________________