Contributor Release Form V1
Contributor Release Form V1
Contributor Release Form V1
The student intends to record/produce a film (the film) as part of the 2 MA Producing Film and
Television in the Faculty of Media and Communication.
The student intends to use the film for the purposes of 3 the Production Managemnt
(the purposes).
The film deals with 4 the issue of students entering the sex or stripping industry; the story is about a young
woman sees no way out other than to become a stripper .
The dates of my contribution are likely to be from 5 the 16th to the 18th of February, 2018.
I agree to be6:
☐ filmed as I am interviewed
☐ filmed acting a part using a script provided or improvising
☐ filmed performing music or singing
☐ filmed doing another activity: 7
☐ photographed
The photographs or the film and sound track of me are my contribution.
I agree to the student using my contribution for the purposes and that the student can include all or some of
my contribution in the film. I understand that the student does not have to use my contribution, or to distribute
or broadcast the film but if they do, they may cut and edit it, and use it in any publicity for the film. If I appear in
the final edited version of the film, an on-screen credit will be shown. If the contribution is an interview, the
student will edit it fairly.
I confirm that all rights in the film and the sound track in the film belong to the student and I consent to my
contribution being used by the student in any media anywhere in the world at any time in the future, including
converting the film into other formats, broadcasting or streaming it and storing the film to use it for the purposes.
I agree to keep my contribution and nature of the project confidential, unless the student agrees that I can
discuss it.
The student will ensure that an appropriate risk assessment is carried out under BU’s health and safety policy.
As the film is part of a BU assignment connected with the student’s course, BU’s public liability insurance will
usually apply, but I understand that I must take appropriate care and act responsibly at all times when
participating in this activity to avoid accidents and injury to myself or others or damage to property.
The student has agreed to pay the following expenses if I provide receipts9:
Type of expense Maximum amount
Contributor’s Signature:................................................................................................................................
Contributor’s Address:...................................................................................................................................
Contributor’s Email:.......................................................................................................................................
Contributor’s Phone/Mobile:..........................................................................................................................
Date:...............................................................................................................................................................
Bournemouth University Tutor Name & Dept ......Annie East, Faculty of Media & Communication................