Location Release Form

Location release                                    Media / VC                                          25/01/2018

 

Location Release Form

Production Title…………………………………………………………………………………………………….

Producer………………………………………………………………………………………………………………….

Contact number…………………………………………………………………………………………………….

 

Name of Location……………………………………………………………………………………………………..

Address of location…………………………………………………………………………………………………

                             ………………………………………………………………………………………………….

                             ,…………………………………………………………………………………………………

                             …………………………………………………………………………………………………..

 

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:

1. The Premises will be made available for the period…………….
    
2. I confirm that we will own the entire copyright and all other rights in the films, photographs and recordings made at the location.
    
3. We shall have no obligation to use the material that we film at the Premises in the Film.
    
4. 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.
    
5. We agree to provide you with an on screen credit in the Film.
    
   Name (please print)………………………………………………………………………………………………….
   Address………………………………………………………………………………………………………………………
   ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
   Position……………………………………………………………………………………………………………………….
   Company (if applicable)……………………………………………………………………………………………
   Signed………………………………………………………………………………………………………………………….