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MATERIAL RELEASE

FILM (WORKING TITLE): _________________________________________________________ PRODUCTION DATE(S): _________________________________________________________ PRODUCTION LOCATION(S): _________________________________________________________ Filming ORGANISER / PHOTOGRAPHER or RECORDIST NAMES and CONTACT DETAILS: Robyn Stanton-Humphreys (13PEH) and Shannon Darby-Jones (13PEH) Churchill Academy and Sixth Form.

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I the licensor hereby give permission and authorise the Producers and those authorised by the producers; Producers agents, successors, assigns and designees, the non-exclusive right to reproduce the Licensed Material, to record and edit the licensed material as desired on photograph and/or video and/or film and/or sound recording (Recordings) and I agree that such Recordings may be edited and otherwise altered at the sole discretion of the producer and used in whole or in part for any and all broadcasting, non-broadcasting, audio/visual, and/or exhibition purposes in any manner or media, in perpetuity, throughout the world. Including but not limited to distribute the Film in all manner, format and media, whether now known or hereinafter developed. I agree that the Recordings may be used (transcribed or otherwise throughout the world for the full period of copyright, including all renewals, reversions, extensions and revivals of such period, in the following ways: (a) Store, publish or transmit the Recordings in internal archives and databases; (b) Copy, reproduce, digitise, broadcast, transmit, rent, lend, perform and exhibit the Recordings in internal archives and databases and communicate and make the recordings available to the public in all media, including but not limited to print, on DVD or other digital media and the Internet at the producers media websites and affiliated websites; (c) Exhibit, publish or transmit the Recordings in print, on DVD or other digital media and on the Internet at the producers media websites and affiliated websites; and (d) Distribute the Recordings to the press, media organisations and other interested parties for publication, transmission or broadcast. Licensor represents and warrants that Licensor possesses or has obtained all rights to the Licensed Material necessary for the grant of this license and that the rights granted hereunder will not conflict with or violate any commitment, agreement, or understanding Licensor has or will have to or with, nor infringe upon any rights of, any person or entity. Licensor shall pay and indemnify and hold Producer and its grantors, officers, directors, assignees, agents, licensees, and employees harmless from and against all claims, losses, costs, expanses, settlements, demands, and liabilities of every kind, including reasonable attorneys fees and expenses, arising out of or incurred by reason of the use of the Licensed Material set forth herein or the inaccuracy, alleged breach, or actual breach of any representation, warranty, covenant, agreement, or undertaking Licensor has made herein.

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Signature_________________________________________________________ Address: _________________________________________________________ City: ____________________County: ___________________Postcode: ___________________ Telephone (landline or mobile): ________________________________________________________ Email: __________________________________________________Date: ____________________

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