location release form: 36 Shackleton Way

Location Release Form

Production Title: ”Signs” by Drake

Producer: Tre-Mitchel Bailey-Maynard

Contact number: 078950881941

Name of Location:  36 Shackleton Way

Address of location: 36 Shackleton Way, Beckton, E16 2JT

I have received details from Tre-Mitchel Bailey-Maynard 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 22^nd october-12^th November.

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)