Model Release Form

Name:
Age:

I hereby give consent for Helen, Philippa and Molly to film me and
use said footage in their A-level Media Studies music video. I
understand that the video will be uploaded to the Internet and
posted on either YouTube or Vimeo. I also agree to them using
photographs and stills of me for their website and digipak.

Signed:

Date:

If under 18, parents must also give their

permission.
I hereby give consent for Helen, Philippa and Molly to film my child
and use said footage in their A-level Media Studies music video. I
understand that the video will be uploaded to the Internet and
posted on either YouTube or Vimeo. I also agree to them using
photographs and stills of my child for their website and digipak.

Signed:

Date: